Individual
DR. SYROPHENIA UDOMAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
408 E WASHINGTON ST, GREENWOOD, MS 38930-4539
(662) 455-2807
(662) 455-9994
Mailing address
PO BOX 329, LEXINGTON, MS 39095-0329
(662) 455-2807
(662) 455-9994
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1122
MS
Other
Enumeration date
10/29/2007
Last updated
10/29/2007
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