Longevity Chiropractic & Wellness Center

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

994 Issued in MS

Legal business name

LONGEVITY CHIROPRACTIC & WELLNESS CENTER

Practice address

55 98 Place Blvd
Hattiesburg, MS 39402-8602

Phone

(601) 602-4056

Fax

(601) 602-4199

NPI assigned

Feb 26, 2010

Last updated

Feb 26, 2010By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Gregory Scott McCully, D.C.

Title

Doctor of Chiropractic

Phone

(601) 602-4056

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1267142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267142400000",
    "number": "1639491053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 98 PLACE BLVD",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394028602",
            "telephone_number": "601-602-4056",
            "fax_number": "601-602-4199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 98 PLACE BLVD",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394028602",
            "telephone_number": "601-602-4056",
            "fax_number": "601-602-4199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONGEVITY CHIROPRACTIC & WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-26",
        "last_updated": "2010-02-26",
        "status": "A",
        "authorized_official_last_name": "MCCULLY",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "601-602-4056",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MS",
            "license": "994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danyell M Lockhart
• Brandi Rawls Lockley, FNP, RNFA
• Jeremy Lofton
• Laura Usnik Long, WHNP-BC
• Michael W Long, LMSW
• Longleaf Home Care LLC
• Lynne Victoria Longman, RDN
• Annette Longo, MD
• Jonathan Isaias Lopez
• Kathleen Diane Lopinto, BS, PHARMD

• Chiropractor in Hattiesburg, MS
• Providers in Hattiesburg, MS by specialty
• Chiropractor in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.