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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.

Location: 7651 Tchulahoma Rd, Southaven, MS, 38671-9227
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
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
Southaven
State
Mississippi
Zip
38671-9227
Phone Number
662-349-0980
Fax Number
662-349-0990
person
Provider Business Mailing Address Details
Address
7651 Tchulahoma Rd
City
Southaven
State
Mississippi
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
111N00000X
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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