Organization
FOWLER CHIROPRACTIC CLINIC, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER S. FOWLER DC (OWNER)
(601) 932-1070
Entity
Organization
Contact information
Practice address
5230 HIGHWAY 80 E, SUITE A, PEARL, MS 39208-8921
(601) 932-1070
Mailing address
PO BOX 1526, BRANDON, MS 39043-1526
(601) 932-1070
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1017
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09015998
—
MS
Enumeration date
02/01/2008
Last updated
02/05/2008
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