Organization
HENNINGTON WELLNESS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN HENNINGTON DC (OWNER)
(601) 680-0371
Entity
Organization
Contact information
Practice address
220 SCOTT DR, MCCOMB, MS 39648-3622
(601) 680-0371
(601) 680-0380
Mailing address
220 SCOTT DR, MCCOMB, MS 39648-3622
(601) 680-0371
(601) 680-0380
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1043
MS
Other
Enumeration date
10/29/2014
Last updated
10/29/2014
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