Organization
BRANDON FAMILY CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HALEY JO WILSON DC (OWNER)
(601) 527-7274
Entity
Organization
Contact information
Practice address
1350 WEST GOVERNMENT STREET SUITE A1, BRANDON, MS 39042
(601) 527-7274
(601) 527-7274
Mailing address
2003 CROSS CREEK COVE, BRANDON, MS 39042
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1256
MS
Other
Enumeration date
03/01/2018
Last updated
03/01/2018
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