SOUTHERN REGIONAL CHIROPRACTIC AND REHABILITATION CENTER NPI 1134635360

NPI Information

SOUTHERN REGIONAL CHIROPRACTIC AND REHABILITATION CENTER is a chiropractor in Diberville, 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. SOUTHERN REGIONAL CHIROPRACTIC AND REHABILITATION CENTER NPI is 1134635360. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

11505 CINEMA DR STE 7
DIBERVILLE, MS
ZIP 39540
Phone: (228) 365-0449
Fax: (228) 365-2314

The provider's authorized official is Susan Lee Keenum .
The authorized official title is Owner and has the following contact phone number (228) 860-5027.

The enumeration date for this NPI number is 12/26/2017 and was last updated on 7/10/2018.

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:

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