Individual
DR. JARRETT DALE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
935 CEDAR LAKE RD, BILOXI, MS 39532-2128
(228) 424-4593
(228) 392-4001
Mailing address
935 CEDAR LAKE RD, BILOXI, MS 39532-2128
(228) 424-4593
(228) 392-4001
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1052
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09052528
—
MS
Enumeration date
04/05/2006
Last updated
04/30/2012
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