| Action Chiropractic Center | |
|
6935 Old Canton Rd, Ridgeland, MS 39157-1284 | |
| (601) 956-6050 | |
| Not Available |
| Full Name | Action Chiropractic Center |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 6935 Old Canton Rd, Ridgeland, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265505267 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 0875 (Mississippi) | Primary |
| Provider Name | Dominique R Chagnon |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1609953843 PECOS PAC ID: 6608834791 Enrollment ID: I20041228000567 |
| Provider Name | Philip Ivanov |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1871723890 PECOS PAC ID: 1153463484 Enrollment ID: I20100125000124 |
| Provider Name | Gary F Demott |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1841244662 PECOS PAC ID: 0547220741 Enrollment ID: I20150123000945 |
| Provider Name | Carolyn Petko |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1073851994 PECOS PAC ID: 3971846395 Enrollment ID: I20230228000181 |
| Mailing Address | Practice Location Address |
|---|---|
| Action Chiropractic Center 6935 Old Canton Rd, Ridgeland, MS 39157-1284 Ph: (601) 956-6050 | Action Chiropractic Center 6935 Old Canton Rd, Ridgeland, MS 39157-1284 Ph: (601) 956-6050 |
Mr. William Brent Cumberland, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 6935 Old Canton Rd, Ste A, Ridgeland, MS 39157 Phone: 601-956-6050 Fax: 601-952-0738 | |
Haley Thomason Mccollum, DC Chiropractor Medicare: Medicare Enrolled Practice Location: 101 W Washington St Ste C1, Ridgeland, MS 39157 Phone: 601-856-2383 Fax: 877-294-2560 | |
Dr. Gage Michael Rodriguez, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 101 W Washington St Ste C, Ridgeland, MS 39157 Phone: 601-856-2383 | |
Family Chiropractic Chiropractor Medicare: Medicare Enrolled Practice Location: 575 Highway 51, Ridgeland, MS 39157 Phone: 601-605-4993 Fax: 601-707-9033 | |
Trevene Raven Cowan, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 6935 Old Canton Rd Ste A, Ridgeland, MS 39157 Phone: 601-956-6050 Fax: 601-952-0738 | |
Mr. Dominique Roch Chagnon, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 6935 Old Canton Rd, Ste A, Ridgeland, MS 39157 Phone: 601-956-6050 Fax: 601-952-0738 |