| River City Chiropractic Clinic Llc | |
|
919 Mission 66, Vicksburg, MS 39183-2751 | |
| (601) 636-8771 | |
| (601) 634-1004 |
| Full Name | River City Chiropractic Clinic Llc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 919 Mission 66, Vicksburg, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568402329 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 1077 (Mississippi) | Primary |
| Provider Name | Paul D Murry |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1962664516 PECOS PAC ID: 3971549783 Enrollment ID: I20050701000532 |
| Provider Name | Gabriel Sebastian Waddell |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1568233120 PECOS PAC ID: 7618310822 Enrollment ID: I20240205002552 |
| Mailing Address | Practice Location Address |
|---|---|
| River City Chiropractic Clinic Llc 919 Mission 66, Vicksburg, MS 39183-2751 Ph: (601) 636-8771 | River City Chiropractic Clinic Llc 919 Mission 66, Vicksburg, MS 39183-2751 Ph: (601) 636-8771 |
Dr. Kenya M Gaskin, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 3425 Pemberton Square Blvd, Suite A, Vicksburg, MS 39180 Phone: 601-619-7122 Fax: 601-619-7122 | |
Houseal Enterprises Chiropractor Medicare: Medicare Enrolled Practice Location: 1825 N Frontage Rd, Suite D, Vicksburg, MS 39180 Phone: 601-634-1600 | |
Gabriel Sebastian Waddell, DC Chiropractor Medicare: Medicare Enrolled Practice Location: 1109 Mission Park Dr, Vicksburg, MS 39180 Phone: 601-636-8771 Fax: 601-634-1004 | |
Thomas Houseal, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 1825 N Frontage Rd, Suite D, Vicksburg, MS 39180 Phone: 601-634-1600 | |
Gaskin Family Chiropractic, P.c. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 3425 Pemberton Square Blvd, Suite A, Vicksburg, MS 39180 Phone: 601-619-7122 | |
Paul Douglas Murry, D.C. Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 919 Mission 66, Vicksburg, MS 39183 Phone: 601-636-8771 |