MEDICARE: MRS. GENEVIEVE SMITH PITCHFORD D.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	1203	MS

General Provider Information

NPI Number	:	1346409851
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. GENEVIEVE SMITH PITCHFORD D.C.

Provider Business Mailing Address
First Line	:	102 BLUE HERON BLVD
Second Line	:
City	:	OCEAN SPRINGS
State	:	MS
Zip	:	39564-9716
Country	:	US
Telephone Number	:	334-618-1227
Fax Number	:

Provider Business Practice Location Address
First Line	:	2900 GOVERNMENT ST STE B
Second Line	:
City	:	OCEAN SPRINGS
State	:	MS
Zip	:	39564-5647
Country	:	US
Telephone Number	:	228-215-1102
Fax Number	:	228-215-1103

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/09/2008
Last Update Date	:	09/09/2014

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