Provider Demographics
NPI:1376969071
Name:FUGETT HEALTH SERVICES LLC
Entity Type:Organization
Organization Name:FUGETT HEALTH SERVICES LLC
Other - Org Name:AMORY CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARTHA
Authorized Official - Middle Name:CAITLIN
Authorized Official - Last Name:FUGETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:662-256-1350
Mailing Address - Street 1:60387 COTTON GIN PORT RD
Mailing Address - Street 2:SUITE 3
Mailing Address - City:AMORY
Mailing Address - State:MS
Mailing Address - Zip Code:38821-5922
Mailing Address - Country:US
Mailing Address - Phone:662-256-1350
Mailing Address - Fax:662-256-1350
Practice Address - Street 1:60387 COTTON GIN PORT RD
Practice Address - Street 2:SUITE 3
Practice Address - City:AMORY
Practice Address - State:MS
Practice Address - Zip Code:38821-5922
Practice Address - Country:US
Practice Address - Phone:662-256-1350
Practice Address - Fax:662-256-1350
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-05
Last Update Date:2014-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS1187111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty