Individual
DR. CARSON SAMUEL JORDAN I
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1725 CENTRAL AVE W, WIGGINS, MS 39577-2434
(601) 928-9095
(601) 928-9383
Mailing address
1725 CENTRAL AVE W, WIGGINS, MS 39577-2434
(601) 928-9095
(601) 928-9383
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1394
MS
Other
Enumeration date
04/11/2024
Last updated
04/11/2024
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