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702 Martin Luther King St, Mound Bayou, MS 38762-9314 | |
(662) 741-2151 | |
Not Available |
Full Name | |
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Type | Facility |
Speciality | Chiropractor - Internist |
Location | 702 Martin Luther King St, Mound Bayou, Mississippi |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
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1124474648 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111NI0900X | Chiropractor - Internist | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
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702 Martin Luther King St, Mound Bayou, MS 38762-9314 Ph: (662) 741-2151 | 702 Martin Luther King St, Mound Bayou, MS 38762-9314 Ph: (662) 741-2151 |