Syrophenia Udomah, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1122 Issued in MS

Practice address

408 E Washington St
Greenwood, MS 38930-4539

Phone

(662) 455-2807

Fax

(662) 455-9994

NPI assigned

Oct 29, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1193616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193616000000",
    "number": "1790964583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 329",
            "city": "LEXINGTON",
            "state": "MS",
            "postal_code": "390950329",
            "telephone_number": "662-455-2807",
            "fax_number": "662-455-9994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 E WASHINGTON ST",
            "city": "GREENWOOD",
            "state": "MS",
            "postal_code": "389304539",
            "telephone_number": "662-455-2807",
            "fax_number": "662-455-9994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UDOMAH",
        "first_name": "SYROPHENIA",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-29",
        "last_updated": "2007-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MS",
            "license": "1122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lashundreya Townsend
• Melinda Triplett, CMHT
• Laura A. Truitt, NP
• Lachandra Tubwell
• Sheryl Anne Turner, RNP
• Urgent Team Management of Greenwood, LLC
• Mary Gregg Vance
• Wal-Mart Stores East LP
• Walgreen Co
• Anthony Walker

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2007; 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.