Organization
DR. DOROTHEY A. PERNELL, D. C., P. A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOROTHEY A PERNELL D. C. (PRESIDENT)
(662) 455-2807
Entity
Organization
Contact information
Practice address
408 E WASHINGTON ST, GREENWOOD, MS 38930-4539
(662) 455-2807
(662) 455-9994
Mailing address
PO BOX 444, GREENWOOD, MS 38935-0444
(662) 455-2807
(662) 455-9994
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
849
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00115315
—
MS
01
—
425159165A
BCBS
MS
Enumeration date
02/25/2008
Last updated
02/25/2008
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