Individual
DR. RUSSELL HOWARD MAUK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
8820 GOODMAN RD, OLIVE BRANCH, MS 38654-2204
(662) 890-5454
Mailing address
8820 GOODMAN RD, OLIVE BRANCH, MS 38654-2204
(662) 890-5454
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1079
MS
111N00000X
Chiropractor
1999
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02858341
—
MS
01
—
1174676647
GROUP NPI
MS
Enumeration date
07/14/2006
Last updated
10/30/2009
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us