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SOUTHERN LIFE CHIROPRACTIC LLC NPI 1881165736


NPI Information

NPI: 1881165736
Provider Name: SOUTHERN LIFE CHIROPRACTIC LLC
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
215 WOODLINE DR STE A
FLOWOOD, MS
ZIP 39232
Phone: (601) 932-0026
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SOUTHERN LIFE CHIROPRACTIC LLC is a chiropractor in Flowood, 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 LIFE CHIROPRACTIC LLC NPI is 1881165736. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

215 WOODLINE DR STE A
FLOWOOD, MS
ZIP 39232-721
Phone: (601) 932-0026
Fax: (601) 932-0027

The provider's authorized official is Amy Different .
The authorized official title is Sole Owner and has the following contact phone number (601) 932-0026.

The enumeration date for this NPI number is 12/17/2018 and was last updated on 12/17/2018.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111N00000XChiropractorYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
104675750MEDICAIDMISSISSIPPI

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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