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CLARK CHIROPRACTIC CLINIC PA NPI 1205958832


NPI Information

NPI: 1205958832
Provider Name: CLARK CHIROPRACTIC CLINIC PA
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
4917 POPLAR SPRINGS DRIVE
MERIDIAN, MS
ZIP 39305
Phone: (601) 482-0716
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CLARK CHIROPRACTIC CLINIC PA is a chiropractor in Meridian, MS. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. CLARK CHIROPRACTIC CLINIC PA NPI is 1205958832. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4917 POPLAR SPRINGS DRIVE
MERIDIAN, MS
ZIP 39305
Phone: (601) 482-0716
Fax: (601) 482-0726

The provider's authorized official is Ronald H Clark .
The authorized official title is Chiropractor President and has the following contact phone number (601) 482-0716.

The enumeration date for this NPI number is 4/4/2007 and was last updated on 2/6/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111N00000XChiropractor711MISSISSIPPIYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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