Mid South Chiropractic Of Horn Lake Pllc | |
2085 Goodman Rd W Ste 80, Horn Lake, MS 38637-1416 | |
(662) 890-0012 | |
Not Available |
Full Name | Mid South Chiropractic Of Horn Lake Pllc |
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Type | Facility |
Speciality | Chiropractor |
Location | 2085 Goodman Rd W Ste 80, Horn Lake, Mississippi |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1518445444 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | (* (Not Available)) | Primary |
Provider Name | Brittany A Kasprack |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1528448685 PECOS PAC ID: 4486966132 Enrollment ID: I20160323002287 |
Provider Name | Kenora S Wallace |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1366158859 PECOS PAC ID: 8426421090 Enrollment ID: I20230301001302 |
Provider Name | Joshua Hardin |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1497501704 PECOS PAC ID: 7517404858 Enrollment ID: I20240803000388 |
Mailing Address | Practice Location Address |
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Mid South Chiropractic Of Horn Lake Pllc 2085 Goodman Rd W Ste 80, Horn Lake, MS 38637-1416 Ph: () - | Mid South Chiropractic Of Horn Lake Pllc 2085 Goodman Rd W Ste 80, Horn Lake, MS 38637-1416 Ph: (662) 890-0012 |
Dr. Steve Tencer, D C Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1941 Goodman Rd W, Suite 101, Horn Lake, MS 38637 Phone: 662-393-8500 Fax: 662-393-9994 | |
Dr. R. Alan Minks, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 3400 Goodman Rd W, Horn Lake, MS 38637 Phone: 662-342-5368 Fax: 662-342-7980 | |
Kenora S Wallace, Chiropractor Medicare: Medicare Enrolled Practice Location: 2085 Goodman Rd W Ste 8, Horn Lake, MS 38637 Phone: 662-890-0012 | |
Joshua Hardin, Chiropractor Medicare: Medicare Enrolled Practice Location: 2085 Goodman Rd W Ste 80, Horn Lake, MS 38637 Phone: 662-890-0012 | |
Kyle Patrick Cobb, Chiropractor Medicare: Medicare Enrolled Practice Location: 2085 Goodman Rd W Ste 80, Horn Lake, MS 38637 Phone: 662-890-0012 | |
Dr. Robert Paul Franco, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 2085 Goodman Rd W Ste 80, Horn Lake, MS 38637 Phone: 662-890-0012 |