Jack Elia JR. D.C.

NPI 1699806323 - Chiropractor - 111N00000X

NPI Details
NPI 1699806323
Gender Male
Enumeration Date 03/07/2007
Last Updated 03/11/2008
Entity Type Individual
Active Over 9 years ago
Practice Location
1918 GRENADA BLVD
GREENWOOD MS, 38930-4725, US
Phone (662) 453-3866
Fax (662) 453-3866
Business Location
1918 GRENADA BLVD
GREENWOOD MS, 38930-4725, US
Phone (662) 453-3866
Fax (662) 453-3866
Toxanomy
Taxonomy Code 111N00000X
License State Mississippi
License Number 67
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According to our database, Dr. Jack Elia JR. D.C. NPI is 1699806323, taxonomy code is 111N00000X and license number is 67, license state is located at Mississippi. Jack Elia JR. D.C. physically located at 1918 Grenada Blvd, Greenwood MS, 38930-4725. NPI Number Jack Elia JR. D.C. has the Individual type.

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1699806323 NPI number is provided on an as is basis without warranty of any kind. 1699806323 is maintained by the National Plan & Provider Enumeration System. The contents of Jack Elia JR. D.C. are for informational purposes only.