Organization
NORTHEAST CHIROPRACTIC CLINIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELISA GAMBLE (OFFICE MANAGER)
(601) 856-2383
Entity
Organization
Contact information
Practice address
575 HIGHWAY 51, RIDGELAND, MS 39157-2593
(601) 856-2383
(601) 856-3955
Mailing address
575 HIGHWAY 51, RIDGELAND, MS 39157-2593
(601) 856-2383
(601) 856-3955
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
655
MS
Other
Enumeration date
08/19/2015
Last updated
04/08/2016
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