| Peavy Chiropractic Clinic Pa | |
|
2409 Mamie St, Hattiesburg, MS 39401-7345 | |
| (601) 582-3343 | |
| (601) 583-6655 |
| Full Name | Peavy Chiropractic Clinic Pa |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 2409 Mamie St, Hattiesburg, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629116322 | NPI | - | NPPES |
| C00559 | Other | MS | MEDICARE GROUP # |
| 353484066 | Other | MS | BLUE CROSS & BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| Provider Name | Timothy W Houseal |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1225176902 PECOS PAC ID: 0244284115 Enrollment ID: I20050303000907 |
| Provider Name | David L Peavy |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1841338720 PECOS PAC ID: 9830370659 Enrollment ID: I20110225000632 |
| Provider Name | Joseph M Walters |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1134560337 PECOS PAC ID: 8426282062 Enrollment ID: I20131014001397 |
| Mailing Address | Practice Location Address |
|---|---|
| Peavy Chiropractic Clinic Pa 2409 Mamie St, Hattiesburg, MS 39401-7345 Ph: (601) 582-3343 | Peavy Chiropractic Clinic Pa 2409 Mamie St, Hattiesburg, MS 39401-7345 Ph: (601) 582-3343 |
E.v. Allison, DC Chiropractor Medicare: Medicare Enrolled Practice Location: 2737 Oak Grove Rd, Hattiesburg, MS 39402 Phone: 601-749-4939 Fax: 769-301-1641 | |
Dr. Julie Baham Lacour, D.C. Chiropractor Medicare: Medicare Enrolled Practice Location: 4700 Hardy St, Suite M, Hattiesburg, MS 39402 Phone: 601-261-5510 | |
Dr. Calvin Erhabor, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 5910 U S Highway 49, Suite 15, Hattiesburg, MS 39401 Phone: 601-317-6633 | |
Dr. Joseph M Walters, D.C. Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 2409 Mamie St, Hattiesburg, MS 39401 Phone: 601-582-3343 | |
Chiropractic Care Of Hattiesburg Llc Chiropractor Medicare: Medicare Enrolled Practice Location: 423 Weathersby Rd Ste 120b, Hattiesburg, MS 39402 Phone: 601-255-5512 Fax: 601-336-5362 | |
Dr. Wallace Christopher West, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 4700 Hardy St., Suite M, Hattiesburg, MS 39402 Phone: 601-261-5599 Fax: 601-261-3295 | |
Dr. Timothy W. Houseal, D.C. Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 2409 Mamie St, Hattiesburg, MS 39401 Phone: 601-582-3343 Fax: 601-583-6655 |