Organization · Type 2 NPI
Great South Management LLC
Chiropractor · Deridder, LA
NPI number
1366470114
Active
Practice location
1606 N Pine St
Deridder, LA 70634-2420
Fax (337) 462-0741
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 1168 (LA) |
Chiropractor: 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.
2 other providers at this address
Other chiropractor providers in Deridder
About NPI 1366470114
Great South Management LLC's National Provider Identifier is 1366470114, issued on Jun 29, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Deridder, LA. The record was last updated on Dec 11, 2012.