Organization
CHIROPRACTIC OF THE SOUTH, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRANDON SLOANE FORTINBERRY D.C. (DR./OWNER)
(601) 605-0903
Entity
Organization
Contact information
Practice address
1029 HIGHWAY 51, STE. F2, MADISON, MS 39110-6603
(601) 605-0903
(601) 510-9415
Mailing address
1029 HIGHWAY 51, STE. F2, MADISON, MS 39110-6603
(601) 605-0903
(601) 510-9415
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1189
MS
Other
Enumeration date
10/03/2012
Last updated
11/21/2012
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