Organization
EADY CHIROPRACTIC, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BUDDY LEE EADY D.C. (OWNER/DOCTOR)
(601) 469-3030
Entity
Organization
Contact information
Practice address
500 E THIRD ST, FOREST, MS 39074-4224
(601) 469-3030
(601) 469-2522
Mailing address
3819 TANGLEWOOD RD, LAWRENCE, MS 39336-6207
(601) 469-3030
(601) 469-2522
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1032
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09016141
—
MS
Enumeration date
04/11/2008
Last updated
06/13/2014
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