Organization
FAMILY WELLNESS & CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SOPHRONIA STIDWELL D.C. (PRESIDENT/PROVIDER)
(601) 954-2669
Entity
Organization
Contact information
Practice address
214 CALDWELL DR, HAZLEHURST, MS 39083-2712
(601) 884-0557
(601) 623-9311
Mailing address
214 CALDWELL DR, HAZLEHURST, MS 39083-2712
(601) 884-0557
(601) 623-9311
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
10/04/2017
Last updated
12/06/2017
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