Individual
JOHN RANDALL BEATY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
2668 S HARPER RD, SUITE 1A, CORINTH, MS 38834-6770
(662) 287-8184
Mailing address
2089A COUNTY ROAD 700, CORINTH, MS 38834-7359
(662) 286-0251
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1041
MS
Other
Enumeration date
10/02/2006
Last updated
07/08/2007
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