Provider Demographics
NPI:1700696598
Name:SPIERS, NATHAN DENTON (DC)
Entity type:Individual
Prefix:DR
First Name:NATHAN
Middle Name:DENTON
Last Name:SPIERS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5128 OLD HIGHWAY 11 STE 1
Mailing Address - Street 2:
Mailing Address - City:HATTIESBURG
Mailing Address - State:MS
Mailing Address - Zip Code:39402-6234
Mailing Address - Country:US
Mailing Address - Phone:601-543-2830
Mailing Address - Fax:
Practice Address - Street 1:5128 OLD HIGHWAY 11 STE 1
Practice Address - Street 2:
Practice Address - City:HATTIESBURG
Practice Address - State:MS
Practice Address - Zip Code:39402-6234
Practice Address - Country:US
Practice Address - Phone:601-543-2830
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-13
Last Update Date:2025-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS1412111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor