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Organization
JACKSON COUNTY CHIROPRACTIC CLINIC
Active
Organization
JACKSON COUNTY CHIROPRACTIC CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RHONDA K BRANHAM (OWNER)
(228) 475-0676
Entity
Organization
Contact information
Practice address
8820 HWY 613, ESCATAWPA, MS 39552-0656
(228) 475-0676
(228) 475-0678
Mailing address
PO BOX 656, ESCATAWPA, MS 39552
(228) 475-0676
(228) 475-0678
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00852517
—
MS
Enumeration date
07/31/2009
Last updated
05/10/2010
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