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Mr. Vance Ray Warden I, DC
Chiropractor in Moss Point, Mississippi
NPI 1801928700

Vance Ray Warden I is a Chiropractor based in Hurley, MS. Vance Ray Warden I practices in Moss Point, MS and has the professional credentials of DC. The NPI Number for Vance Ray Warden I is 1801928700 and holds a License No. F0113056 (Mississippi).

The current practice location address for Vance Ray Warden I is 19621 Hwy 63, Moss Point, MS and can be reached out via phone at 228-588-0188 and via fax at 228-588-9184.

Location: 19621 Hwy 63, Moss Point, MS, 39555-0901
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1801928700
Provider Name
Vance Ray Warden I
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
19621 Hwy 63, Moss Point, MS, 39555-0901
Phone Number
228-588-0188
Fax Number
228-588-9184
Provider Enumeration Date
03/09/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
350000283 01 MS PTAN
00123522 05 MS
institution
Provider Business Practice Location Address Details
Address
19621 Hwy 63
City
Moss Point
State
Mississippi
Zip
39562
Phone Number
228-588-0188
Fax Number
228-588-9184
person
Provider Business Mailing Address Details
Address
19621 Hwy 63
City
Moss Point
State
Mississippi
Zip
39562
Phone Number
228-588-0188
Fax Number
228-588-9184
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
0987 (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.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
F0113056 (Mississippi)
Definition
Definition to come...
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