Mississippi Upper Cervical Clinic, Inc
Chiropractor in Southaven, MS(View on Map)
Legal Business Name
Mississippi Upper Cervical Clinic, Inc
NPI Number
1346318797
NPI Type
Organization
Enumeration Date
12/02/2006
Specialties
(Taxonomies)Licenses
State
Mississippi
License Number
1100
Contact
Information
Purpose
Mailing
Location
Address
7651 TCHULAHOMA RD
7651 TCHULAHOMA RD
City
Southaven
Southaven
State
MS
MS
Postal Code
38671
38671-9227
Country
US
US
Telephone Number
(662) 349-0980
(662) 349-0980
Authorized Official
Name
Dr. Trevor Qualls
Title or Position
CHIROPRACTOR
Telephone Number
(662) 349-0980
Identifiers
Identifier
415350960
Identifier State
MS
Identifier Issuer
BCBS
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 03/20/2008
Provider Address
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