Gautier Chiropractic Group

NPI #1467707257 in Gautier, Mississippi

Provider Information

NPI Number: 1467707257
Entity Type: Organization
Organization Name: Gautier Chiropractic Group
Primary Specialty: Chiropractor
Enumeration Date: Jul 17, 2012
Last Updated: Jul 17, 2012

Practice Location

Address: 3105 SHAW DRIVE
City: Gautier
State: Mississippi
ZIP Code: 39553-5507
Phone: (228) 202-5106

Authorized Official

Name: MR. GROVER DALE JOHNSON, D.C.
Title: DIRECTOR
Phone: (228) 202-5106

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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