Petal Chiropractic Clinic, Inc.
NPI #1457484545 in Petal, Mississippi
Provider Information
- NPI Number
- 1457484545
- Entity Type
- Organization
- Organization Name
- Petal Chiropractic Clinic, Inc.
- Primary Specialty
- Chiropractor
- Enumeration Date
- Mar 14, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 130 N MAIN ST
- City
- Petal
- State
- Mississippi
- ZIP Code
- 39465-2345
- Phone
- (601) 545-1481
Authorized Official
- Name
- DR. KIM A PUCKETT, D.C.
- Title
- VICE PRESIDENT
- Phone
- (601) 545-1481
Specialties & Taxonomy Codes
| Specialty |
|---|
| Chiropractor |
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