| Mississippi Upper Cervical Clinic, Inc | |
|
7651 Tchulahoma Rd, Southaven, MS 38671-9227 | |
| (662) 349-0980 | |
| (662) 349-0990 |
| Full Name | Mississippi Upper Cervical Clinic, Inc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 7651 Tchulahoma Rd, 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 |
|---|---|---|---|
| 1346318797 | NPI | - | NPPES |
| 415350960 | Other | MS | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 1100 (Mississippi) | Primary |
| Provider Name | Trevor L Qualls |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1093814170 PECOS PAC ID: 5890794309 Enrollment ID: I20061211000595 |
| Provider Name | Tyler L Qualls |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1154565794 PECOS PAC ID: 5799961942 Enrollment ID: I20110524000174 |
| Provider Name | Marcy C Purnell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932431327 PECOS PAC ID: 7012176522 Enrollment ID: I20191014001543 |
| Mailing Address | Practice Location Address |
|---|---|
| Mississippi Upper Cervical Clinic, Inc 7651 Tchulahoma Rd, Southaven, MS 38671 Ph: (662) 349-0980 | Mississippi Upper Cervical Clinic, Inc 7651 Tchulahoma Rd, Southaven, MS 38671-9227 Ph: (662) 349-0980 |
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: Not Enrolled in Medicare 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 |