Healthcare Provider Details
I. General information
NPI: 1528063260
Provider Name (Legal Business Name): DON M HEMBREE D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 06/17/2005
Last Update Date: 08/20/2010
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
8820 HWY. 613
MOSS POINT MS
39562-8102
US
IV. Provider business mailing address
PO BOX 1159
ESCATAWPA MS
39552
US
V. Phone/Fax
- Phone: 228-475-0676
- Fax: 228-475-0678
- Phone: 228-475-0676
- Fax: 228-475-0678
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111N00000X |
| Taxonomy | Chiropractor |
| License Number | MS815 |
| License Number State | MS |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: