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Organization

EMMANUEL RIDGE CHIROPRACTIC SERVICES, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. BEATRICE A EZEM RN, CM,CLNC (PRESIDENT,CEO)
(601) 845-3544
Entity
Organization

Contact information

Practice address
4801 N STATE ST STE 116, JACKSON, MS 39206-4825
(601) 845-3544
(601) 845-3636
Mailing address
2990 HIGHWAY 49 S STE P, FLORENCE, MS 39073-9523
(601) 845-3544
(601) 845-3636

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0972
MS

Other

Enumeration date
10/26/2006
Last updated
08/22/2020
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