Advanced Chiropractic Clinic
Organization Active NPI Clinic/Center · Ridgeland, MS
NPI 1255693602 · NPPES record last updated Jun 13, 2012
Key facts
- NPI
- 1255693602
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinic/Center 261Q00000X
- License
- 624 (MS)
- Legal business name
- ADVANCED CHIROPRACTIC CLINIC
- Practice address
- 6500 Old Canton Rd
Ridgeland, MS 39157-1313 - Phone
- (601) 956-0010
- NPI assigned
- Jun 12, 2012
- Organization subpart
- No
Authorized official
- Name
- Dr. Leo C Huddleston, DC
- Title
- Owner
- Phone
- (601) 953-0010
National Provider Directory
Locations
6500 Old Canton Rd
Ridgeland, MS 39157
Phone (601) 956-0010
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | 624 | MS | Yes |
Addresses
Primary practice location
6500 Old Canton Rd
Ridgeland, MS 39157-1313
Mailing address
6500 Old Canton Rd
Ridgeland, MS 39157-1313
Phone (601) 956-0010
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00115050 | Medicaid | MS |
Other names
- Back & Neck Pain Clinic Dr L C Huddleston
Other providers in Ridgeland, MS
- Acoustic Wave Treatment Center of Ms LLC
- Action Chiropractic Center
- Adore Home Healthcare, LLC
- Advance Care DME & Medical Supplies, LLC
- Advance Medical House Calls
- Advanced Medical LLC
- Advanced Medical, LLC
- Advanced Medical, LLC
- Aegis Group Practice LLC
- Aegis Group Practice LLC
All providers in Ridgeland, MS · Clinic/Center in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 13, 2012. 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.