Organization
GREGORY CHIROPRACTIC CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROGER MILTON GREGORY III D.C. (OWNER)
(601) 373-5767
Entity
Organization
Contact information
Practice address
5604 I 55 S, BYRAM, MS 39272-9402
(601) 373-5767
(601) 372-4031
Mailing address
5604 I 55 S, BYRAM, MS 39272-9402
(601) 373-5767
(601) 372-4031
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
589
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08737729
—
MS
01
—
P00035227
RAILROAD MEDICARE
MS
Enumeration date
06/17/2010
Last updated
01/22/2016
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