GAUTIER CHIROPRACTIC GROUP NPI 1467707257

NPI Information

  • NPI: 1467707257
  • Provider Name: GAUTIER CHIROPRACTIC GROUP
  • Classification: Chiropractor - 111N00000X
  • Entity Type: Organization
  • Address: 3105 SHAW DRIVE
    GAUTIER, MS
    ZIP 39553
  • Phone: (228) 202-5106

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NPI Details

GAUTIER CHIROPRACTIC GROUP is a chiropractor in Gautier, 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. GAUTIER CHIROPRACTIC GROUP NPI is 1467707257. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3105 SHAW DRIVE
GAUTIER, MS
ZIP 39553-507
Phone: (228) 202-5106
Fax: (228) 202-5107

The provider's authorized official is Grover Dale Johnson .
The authorized official title is Director and has the following contact phone number (228) 202-5106.

The enumeration date for this NPI number is 7/17/2012 and was last updated on 7/17/2012.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1111N00000XChiropractor415MISSISSIPPIYes

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: 11/21/2025

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