Organization
HERNDON CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RON HERNDON (ADMINISTRATOR)
(662) 842-8413
Entity
Organization
Contact information
Practice address
2087 CLIFF GOOKIN BLVD, TUPELO, MS 38801-6724
(662) 842-8413
(662) 844-3292
Mailing address
2087 CLIFF GOOKIN BLVD, TUPELO, MS 38801-6724
(662) 842-8413
(662) 844-3292
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
399
MS
Other
Enumeration date
08/21/2018
Last updated
08/21/2018
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