Organization
KOSCIUSKO CHIROPRACTIC CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FELICIA POE D.C. (OWNER)
(662) 303-9830
Entity
Organization
Contact information
Practice address
235 N MADISON ST, KOSCIUSKO, MS 39090-3626
(662) 303-9830
Mailing address
235 N MADISON ST, KOSCIUSKO, MS 39090-3626
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
1174
MS
Other
Enumeration date
07/29/2011
Last updated
07/29/2011
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