Individual
DR. BRANDON SLOANE FORTINBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1029 HIGHWAY 51 STE F2, MADISON, MS 39110-7648
(601) 605-0309
Mailing address
1029 HIGHWAY 51 STE F2, MADISON, MS 39110-7648
(601) 605-0309
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1189
MS
111NR0400X
Rehabilitation Chiropractor
721
MS
Other
Enumeration date
08/21/2012
Last updated
08/21/2012
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