Organization
PROFESSIONAL REHABILITATION SERVICES
Active
Other names
Purvis Chiropractic Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN ROBERT ACORD JR. DC (DOCTOR)
(601) 794-0081
Entity
Organization
Contact information
Practice address
105 MAIN ST., PURVIS, MS 39475
(601) 794-0081
(601) 794-0083
Mailing address
PO BOX 1863, PURVIS, MS 39475-1863
(601) 794-0081
(601) 794-0083
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
998
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09015049
—
MS
Enumeration date
12/07/2007
Last updated
12/07/2007
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