Organization
HENNINGTON CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN BOYD HENNINGTON D.O. (OWNER)
(601) 680-0371
Entity
Organization
Contact information
Practice address
220 SCOTT DR, MCCOMB, MS 39648-3622
(601) 680-0371
(601) 380-0380
Mailing address
220 SCOTT DRIVE, MCCOMB, MS 39648
(601) 680-0371
(601) 680-0380
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1043
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1124116777
NPI
MS
Enumeration date
03/29/2012
Last updated
05/23/2012
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