Organization
SOUTHERN LIFE CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY DIFFERENT DC (OWNER)
(601) 672-8655
Entity
Organization
Contact information
Practice address
578 LAKELAND EAST DR STE B, FLOWOOD, MS 39232-9022
(601) 672-8655
Mailing address
578 LAKELAND EAST DR STE B, FLOWOOD, MS 39232-9022
(601) 672-8655
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04675750
—
MS
Enumeration date
12/17/2018
Last updated
05/07/2026
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