Organization
LADNER CHIROPRACTIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DINELL MORAN CA (OFFICE MANAGER)
(228) 255-8099
Entity
Organization
Contact information
Practice address
28284 HIGHWAY 603, PERKINSTON, MS 39573-3793
(228) 255-8099
(228) 255-8098
Mailing address
28284 HIGHWAY 603, PERKINSTON, MS 39573-3793
(228) 255-8099
(228) 255-8098
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1080
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03533331
—
MS
05
—
04154238
—
MS
Enumeration date
04/23/2007
Last updated
03/14/2008
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