Organization
GRIMES-BEVIS CHIROPRACTIC, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENT A. GRIMES D.C. (DOCTOR/PARTNER)
(721) 925-1196
Entity
Organization
Contact information
Practice address
3196 HIGHWAY 72 WEST, CORINTH, MS 38834
(662) 284-8565
(662) 284-8566
Mailing address
3196 HIGHWAY 72 WEST, CORINTH, MS 38834
(662) 284-8565
(662) 284-8566
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1113
MS
Other
Enumeration date
05/04/2011
Last updated
05/04/2011
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