Chiropractic of the South, Pllc
NPI #1811249667 in Madison, Mississippi
Provider Information
- NPI Number
- 1811249667
- Entity Type
- Organization
- Organization Name
- Chiropractic of the South, Pllc
- Primary Specialty
- Chiropractor
- Enumeration Date
- Oct 3, 2012
- Last Updated
- Nov 21, 2012
Practice Location
- Address
- 1029 HIGHWAY 51
- Address 2
- STE. F2
- City
- Madison
- State
- Mississippi
- ZIP Code
- 39110-6603
- Phone
- (601) 605-0903
Authorized Official
- Name
- DR. BRANDON SLOANE FORTINBERRY, D.C.
- Title
- DR./OWNER
- Phone
- (601) 605-0903
Specialties & Taxonomy Codes
| Specialty |
|---|
| Chiropractor |
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