Organization
PAGE FAMILY AND SPORTS CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN PAGE D.C. (CHIROPRACTOR)
(601) 450-5060
Entity
Organization
Contact information
Practice address
4700 HARDY ST STE M, HATTIESBURG, MS 39402-1300
(601) 450-5060
(601) 261-3295
Mailing address
4700 HARDY ST STE M, HATTIESBURG, MS 39402-1300
(601) 450-5060
(601) 261-3295
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1165
MS
Other
Enumeration date
08/26/2010
Last updated
08/26/2010
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