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Organization
PRECISION WELLNESS AND REHAB CENTER, LLC
Active
Organization
PRECISION WELLNESS AND REHAB CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN L CIOTTI JR. D.C (OWNER)
(228) 875-0595
Entity
Organization
Contact information
Practice address
5935 WASHINGTON AVE, SUITE C, OCEAN SPRINGS, MS 39564-2642
(228) 875-0595
(228) 875-2210
Mailing address
PO BOX 1462, OCEAN SPRINGS, MS 39566-1462
(228) 875-2210
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
955
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09015198
—
MS
01
—
123465039A
GROUP # FOR BLUE CROSS MS
MS
01
—
5291607
GROUP # FOR AET NA
MS
Enumeration date
05/14/2007
Last updated
11/18/2010
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