Organization
WEATHERS CHIROPRACTIC CENTER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRADFORD KIMBALL WEATHERS DC (OWNER)
(601) 657-0364
Entity
Organization
Contact information
Practice address
128 WEST BROKEN ST, LIBERTY, MS 39645
(601) 657-0364
(601) 657-8851
Mailing address
250 S BROAD ST, LIBERTY, MS 39645-8029
(601) 657-0364
(601) 657-8851
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1192
MS
Other
Enumeration date
07/18/2012
Last updated
02/26/2013
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