Individual
DR. SHANE TAYLOR WILKINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1607 JOHNSON ST., JENNINGS, LA 70546
(337) 824-5522
(337) 824-5527
Mailing address
1607 JOHNSON ST., JENNINGS, LA 70546
(337) 824-5522
(337) 824-5527
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1735
LA
Other
Enumeration date
04/26/2007
Last updated
10/10/2016
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