Individual
JEREMY WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
3710 I 55 N, JACKSON, MS 39211-6323
(601) 981-2273
(601) 981-0578
Mailing address
3710 I 55 N, JACKSON, MS 39211-6323
(601) 981-2273
(601) 981-0578
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1260
MS
Other
Enumeration date
07/28/2016
Last updated
07/28/2016
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