| Chiropractic Life Center Llc | |
|
1900 Pass Rd, Ste D, Gulfport, MS 39501-5100 | |
| (228) 864-6159 | |
| (228) 864-3186 |
| Full Name | Chiropractic Life Center Llc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 1900 Pass Rd, Gulfport, Mississippi |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033557921 | NPI | - | NPPES |
| 00119478 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 0356 (Mississippi) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Chiropractic Life Center Llc 1900 Pass Rd, Ste D, Gulfport, MS 39501-5100 Ph: (228) 864-6159 | Chiropractic Life Center Llc 1900 Pass Rd, Ste D, Gulfport, MS 39501-5100 Ph: (228) 864-6159 |
Dr. Bradford Joseph Dewitt, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 15465 Oak Ln Ste 100b, Gulfport, MS 39503 Phone: 228-832-0846 Fax: 228-832-0856 | |
Mr. Gregory Kevin Picou, D.C. Chiropractor Medicare: Medicare Enrolled Practice Location: 9344 Three Rivers Rd, Gulfport, MS 39503 Phone: 228-865-9898 Fax: 228-863-5616 | |
Dr. Brandon Hardin, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 370 Courthouse Rd, 101, Gulfport, MS 39507 Phone: 228-241-1000 | |
William Bankester, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 8950 Lorraine Rd Ste C, Gulfport, MS 39503 Phone: 228-896-5343 | |
Dr. Mark Read Shuttleworth, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 665 East Pass Rd Ste 3, Gulfport, MS 39507 Phone: 228-896-3002 | |
Dr. Katanya D Ford, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 1243 28th St Ste A, Gulfport, MS 39501 Phone: 228-357-5585 Fax: 228-357-5655 |