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Dr. Wallace Christopher West, DC
Chiropractor in Hattiesburg, Mississippi
NPI 1215021829

Wallace Christopher West is a Chiropractor based in Hattiesburg, MS. Wallace Christopher West practices in Hattiesburg, MS and has the professional credentials of DC. The NPI Number for Wallace Christopher West is 1215021829 and holds a License No. 854 (Mississippi).

The current practice location address for Wallace Christopher West is 4700 Hardy St., Hattiesburg, MS and can be reached out via phone at 601-261-5599 and via fax at 601-261-3295.

Location: 4700 Hardy St., Hattiesburg, MS, 39402-1300
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1215021829
Provider Name
Wallace Christopher West
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
4700 Hardy St., Hattiesburg, MS, 39402-1300
Phone Number
601-261-5599
Fax Number
601-261-3295
Provider Enumeration Date
10/03/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
106317 01 MS HEALTH PARTNERS
4666264 01 MS AETNA
00114920 05 MS
44-32003 01 MS UNITED HEALTH CARE NUMBER
institution
Provider Business Practice Location Address Details
Address
4700 Hardy St.
City
Hattiesburg
State
Mississippi
Zip
39402-1300
Phone Number
601-261-5599
Fax Number
601-261-3295
person
Provider Business Mailing Address Details
Address
4700 Hardy St.
City
Hattiesburg
State
Mississippi
Zip
39402-1300
Phone Number
601-261-5599
Fax Number
601-261-3295
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
854 (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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