Organization
GIUST CHIROPRACTIC CENTER, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK STEVEN GIUST D.C. (PRESIDENT)
(601) 833-8100
Entity
Organization
Contact information
Practice address
880 BROOKWAY BLVD, BROOKHAVEN, MS 39601-2642
(601) 833-8100
(601) 833-3377
Mailing address
880 BROOKWAY BLVD, BROOKHAVEN, MS 39601-2642
(601) 833-8100
(601) 833-3377
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0769
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00115776
—
MS
01
—
284586898A
BLUE SHIELD 1500 ID
MS
Enumeration date
11/10/2011
Last updated
11/10/2011
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