Gabriel Sebastian Waddell, DC | |
1109 Mission Park Dr, Vicksburg, MS 39180-3700 | |
(601) 636-8771 | |
(601) 634-1004 |
Full Name | Gabriel Sebastian Waddell |
---|---|
Gender | Male |
Speciality | Chiropractor |
Location | 1109 Mission Park Dr, Vicksburg, Mississippi |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1568233120 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 1386 (Mississippi) | Primary |
Provider Name | River City Chiropractic Clinic Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1568402329 PECOS PAC ID: 2668544289 Enrollment ID: O20080626000359 |
Mailing Address | Practice Location Address |
---|---|
Gabriel Sebastian Waddell, DC 1109 Mission Park Dr, Vicksburg, MS 39180-3700 Ph: (601) 636-8771 | Gabriel Sebastian Waddell, DC 1109 Mission Park Dr, Vicksburg, MS 39180-3700 Ph: (601) 636-8771 |
Dr. Kenya M Gaskin, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 3425 Pemberton Square Blvd, Suite A, Vicksburg, MS 39180 Phone: 601-619-7122 Fax: 601-619-7122 | |
River City Chiropractic Clinic Llc Chiropractor Medicare: Medicare Enrolled Practice Location: 919 Mission 66, Vicksburg, MS 39183 Phone: 601-636-8771 Fax: 601-634-1004 | |
Thomas Houseal, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 1825 N Frontage Rd, Suite D, Vicksburg, MS 39180 Phone: 601-366-9220 | |
Gaskin Family Chiropractic, P.c. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 3425 Pemberton Square Blvd, Suite A, Vicksburg, MS 39180 Phone: 601-619-7122 | |
Paul Douglas Murry, D.C. Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 919 Mission 66, Vicksburg, MS 39183 Phone: 601-636-8771 |