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SOUTHERN REGIONAL CHIROPRACTIC AND REHABILITATION CENTER
NPI 1134635360
Chiropractor in Diberville, MS

Active since December 26, 2017
11505 CINEMA DR STE 7, DIBERVILLE, MS 39540(228) 365-0449(228) 365-2314 Get Directions Write a Review

NPPES record last updated: July 10, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 10, 2018, Dec 26, 2017 (2 updates tracked since 2017).

About Southern Regional Chiropractic And Rehabilitation Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHERN REGIONAL CHIROPRACTIC AND REHABILITATION CENTER (NPI 1134635360) is a healthcare organization registered as a chiropractor in Diberville, Mississippi and active in the NPI registry since December 2017. The organization lists Susan Lee Keenum, Owner, as its authorized official.

NPPES Registry Identity

NPI1134635360
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameSOUTHERN REGIONAL CHIROPRACTIC AND REHABILITATION CENTER
Location Address11505 CINEMA DR STE 7Diberville, MS 39540
Mailing Address11505 Cinema Dr Ste 7Diberville, MS 39540-9703 · (228) 365-0449 · Fax (228) 365-2314
Phone(228) 365-0449
Fax(228) 365-2314
Organization SubpartNo
Authorized OfficialSusan Lee KeenumOwner · (228) 860-5027
Enumeration DateDecember 26, 2017
Last NPPES UpdateJuly 10, 20182 updates tracked since enumeration
✔ NPI 1134635360 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in MS · 1221
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.
Also ListedNurse PractitionerTaxonomy 363L00000X · License 901566 (MS)
11505 CINEMA DR STE 7, Diberville, MS 39540
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BERNARD KEENUM, LLC
Chiropractor
11505 CINEMA DR STE 7
DIBERVILLE, MS 39540
Harrison County (228) 365-0449
DR. BERNARD JOSEPH KEENUM D.C.
Chiropractor
11505 CINEMA DR STE 7
DIBERVILLE, MS 39540
Harrison County (228) 365-0449

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Southern Regional Chiropractic And Rehabilitation Center's NPI number?

The NPI number for Southern Regional Chiropractic And Rehabilitation Center is 1134635360. It was assigned to this organization in the NPPES registry on December 26, 2017.

Where is Southern Regional Chiropractic And Rehabilitation Center located?

Southern Regional Chiropractic And Rehabilitation Center is located at 11505 Cinema Dr Ste 7, Diberville, MS 39540. The listed phone number is (228) 365-0449.

What is Southern Regional Chiropractic And Rehabilitation Center's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Southern Regional Chiropractic And Rehabilitation Center was last updated on July 10, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.