| Lucedale Chiropractic Clinic, P.a. | |
|
789 Winter St, Lucedale, MS 39452-5729 | |
| (601) 947-8472 | |
| (601) 947-1672 |
| Full Name | Lucedale Chiropractic Clinic, P.a. |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 789 Winter St, Lucedale, Mississippi |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861690067 | NPI | - | NPPES |
| 06421772 | Medicaid | MS | |
| C02839 | Other | MS | MEDICARE GROUP # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 610 (Mississippi) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Lucedale Chiropractic Clinic, P.a. 789 Winter St, Lucedale, MS 39452-5729 Ph: (601) 947-8472 | Lucedale Chiropractic Clinic, P.a. 789 Winter St, Lucedale, MS 39452-5729 Ph: (601) 947-8472 |
Dalton Detty, DC Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 727 Winter St Ste B, Lucedale, MS 39452 Phone: 740-701-2988 | |
Dr. David A Schultz, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 789 Winter St., Lucedale, MS 39452 Phone: 601-947-8472 Fax: 601-947-1672 | |
Lucedale Chiropractic Llc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 727 Winter St Ste B, Lucedale, MS 39452 Phone: 740-701-2988 |