Provider Demographics
NPI:1629216023
Name:LEE, ZINNETTE CHERLYN (DC)
Entity Type:Individual
Prefix:
First Name:ZINNETTE
Middle Name:CHERLYN
Last Name:LEE
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:ZINNETTA
Other - Middle Name:SHERLYN
Other - Last Name:LEE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:7114 S SIWELL RD
Mailing Address - Street 2:
Mailing Address - City:BYRAM
Mailing Address - State:MS
Mailing Address - Zip Code:39272-8744
Mailing Address - Country:US
Mailing Address - Phone:601-346-8199
Mailing Address - Fax:601-346-8198
Practice Address - Street 1:7114 S SIWELL RD
Practice Address - Street 2:
Practice Address - City:BYRAM
Practice Address - State:MS
Practice Address - Zip Code:39272-8744
Practice Address - Country:US
Practice Address - Phone:601-346-8199
Practice Address - Fax:601-346-8198
Is Sole Proprietor?:No
Enumeration Date:2009-01-23
Last Update Date:2009-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS1139111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor