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Dr. Endre Dejuan Matthews, DC
Chiropractor in Jackson, Mississippi
NPI 1457480469

Endre Dejuan Matthews is a Chiropractor based in Jackson, MS. Endre Dejuan Matthews practices in Jackson, MS and has the professional credentials of DC. The NPI Number for Endre Dejuan Matthews is 1457480469 and holds a License No. 1015 (Mississippi).

The current practice location address for Endre Dejuan Matthews is 108 E Northside Dr, Jackson, MS and can be reached out via phone at 601-366-9005 and via fax at 601-366-9005.

Location: 108 E Northside Dr, Jackson, MS, 39206-5417
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1457480469
Provider Name
Endre Dejuan Matthews
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
108 E Northside Dr, Jackson, MS, 39206-5417
Phone Number
601-366-9005
Fax Number
601-366-9005
Provider Enumeration Date
03/05/2007
Last Update Date
12/14/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00125438 05 MS
institution
Provider Business Practice Location Address Details
Address
108 E Northside Dr
City
Jackson
State
Mississippi
Zip
39206-5417
Phone Number
601-366-9005
Fax Number
601-366-9005
person
Provider Business Mailing Address Details
Address
108 E Northside Dr
City
Jackson
State
Mississippi
Zip
39206-5417
Phone Number
601-366-9005
Fax Number
601-366-9005
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
1015 (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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