Healthcare Provider Details

I. General information

NPI: 1730046798
Provider Name (Legal Business Name): PAYTON ENGEL CLINTON DC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/09/2026
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

423 WEATHERSBY RD STE 120
HATTIESBURG MS
39402-1140
US

IV. Provider business mailing address

423 WEATHERSBY RD STE 120
HATTIESBURG MS
39402-1140
US

V. Phone/Fax

Practice location:
  • Phone: 601-255-5511
  • Fax:
Mailing address:
  • Phone: 601-255-5511
  • Fax: 601-336-5362

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number1429
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: