Individual
MELVIN RICHARD EDGIL II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
207 3RD ST N, AMORY, MS 38821-3424
(662) 256-7303
(662) 256-7335
Mailing address
PO BOX 188, AMORY, MS 38821-0188
(662) 256-7303
(662) 256-7335
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1088
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09987533
—
MS
Enumeration date
02/15/2006
Last updated
05/19/2009
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