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Individual

DR. RAYMOND A FOXWORTH JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
2470 FLOWOOD DR, STE 125, FLOWOOD, MS 39232-9019
(601) 932-9201
(601) 932-4962
Mailing address
2470 FLOWOOD DR, STE 125, FLOWOOD, MS 39232-9019
(601) 932-9201
(601) 932-4962

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
718
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00117752
MS
Enumeration date
11/02/2007
Last updated
06/08/2009
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