Clark Chiropractic Clinic PA
Organization Active NPI Chiropractor · Meridian, MS
NPI 1205958832 · NPPES record last updated Feb 6, 2008
Key facts
- NPI
- 1205958832
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- 711 (MS)
- Legal business name
- CLARK CHIROPRACTIC CLINIC PA
- Practice address
- 4917 Poplar Springs Drive
Meridian, MS 39305 - Phone
- (601) 482-0716
- Fax
- (601) 482-0726
- NPI assigned
- Apr 4, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Ronald H Clark, DC
- Title
- Chiropractor President
- Phone
- (601) 482-0716
Practitioners 2
-
Meggan Everett, CNM
-
Virginia Carney Nelson, D.O.
National Provider Directory
Locations
4917 Poplar Springs Dr
Meridian, MS 39305
Phone (601) 482-0716
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | 711 | MS | Yes |
Addresses
Primary practice location
4917 Poplar Springs Drive
Meridian, MS 39305
Mailing address
4917 Poplar Springs Drive
Meridian, MS 39305
Phone (601) 482-0716
Other providers in Meridian, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 6, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.