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7464 Tchulahoma Road, Southaven, MS 38671 | |
| (662) 349-4494 | |
| (662) 349-4495 |
| Full Name | |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 7464 Tchulahoma Road, Southaven, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720106875 | NPI | - | NPPES |
| 350044428 | Other | MS | RR MEDICARE |
| 3045182 | Other | TN | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| Provider Name | Bradley S Thompson |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1477730190 PECOS PAC ID: 3072574672 Enrollment ID: I20041026000444 |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 225, Southaven, MS 38671 Ph: (662) 349-4494 | 7464 Tchulahoma Road, Southaven, MS 38671 Ph: (662) 349-4494 |
Dr. Trevor Lamar Qualls, D.C. Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 7651 Tchulahoma Rd, Southaven, MS 38671 Phone: 662-349-0980 Fax: 662-349-0990 | |
Dc Direct Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 8332 Park Pike, Southaven, MS 38671 Phone: 901-486-3559 | |
Bakeris Chriopractic Clinic Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 6898 Elmore Rd, Southaven, MS 38671 Phone: 662-349-3499 Fax: 662-349-1314 | |
Dr. Tyler Lane Qualls, D.C. Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 7651 Tchulahoma Rd, Southaven, MS 38671 Phone: 662-349-0980 Fax: 662-349-0990 | |
Chastity Black, DC Chiropractor Medicare: Medicare Enrolled Practice Location: 1630 Goodman Rd E Ste 3, Southaven, MS 38671 Phone: 901-217-7173 Fax: 662-932-8774 | |
Dr. David Michael Bakeris, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 6898 Elmore Rd, Southaven, MS 38671 Phone: 662-349-3499 | |
Dr. David Chadwick Hall Ii, D.C (CHIROPRACTOR) Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 1134 Church Rd W, Southaven, MS 38671 Phone: 662-393-4848 Fax: 662-393-4858 |