person
Dr. Tyler Lane Qualls, DC
Chiropractor in Southaven, Mississippi
NPI 1154565794

Tyler Lane Qualls is a Chiropractor based in Southaven, MS. Tyler Lane Qualls practices in Southaven, MS and has the professional credentials of DC. The NPI Number for Tyler Lane Qualls is 1154565794 and holds a License No. 1147 (Mississippi).

The current practice location address for Tyler Lane Qualls is 7651 Tchulahoma Rd, Southaven, MS and can be reached out via phone at 662-349-0980 and via fax at 662-349-0990. You can also correspond with Tyler Lane Qualls through the mailing address at 7651 TCHULAHOMA RD, SOUTHAVEN, MS - 38671-9227 (mailing address contact number: 662-349-0980).

Location: 7651 Tchulahoma Rd, Southaven, MS, 38671-9227
person
Provider Profile Details
NPI Number
1154565794
Provider Name
Tyler Lane Qualls
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
7651 Tchulahoma Rd, Southaven, MS, 38671-9227
Phone Number
662-349-0980
Fax Number
662-349-0990
Provider Enumeration Date
04/27/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
302I355410 01 MS MEDICARE PTAN
institution
Provider Business Practice Location Address Details
Address
7651 Tchulahoma Rd
City
State
Zip
38671-9227
Phone Number
662-349-0980
Fax Number
662-349-0990
person
Provider Business Mailing Address Details
Address
7651 Tchulahoma Rd
City
State
Zip
38671-9227
Phone Number
662-349-0980
Fax Number
662-349-0990
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
License No.
1147 (Mississippi)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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