Picayune Chiropractic Clinic INC
NPI #1487601084 in Picayune, Mississippi
Provider Information
- NPI Number
- 1487601084
- Entity Type
- Organization
- Organization Name
- Picayune Chiropractic Clinic INC
- Primary Specialty
- Chiropractor
- Enumeration Date
- May 28, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 214 N CURRAN AVE
- Address 2
- SUITE E1
- City
- Picayune
- State
- Mississippi
- ZIP Code
- 39466-4002
- Phone
- (601) 889-1633
Authorized Official
- Name
- DR. RICCO VITO IMPASTATO, D.C.
- Title
- CHIROPRACTOR
- Phone
- (601) 889-1633
Specialties & Taxonomy Codes
| Specialty |
|---|
| Chiropractor |
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