Individual
JARED VICTORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
315 HIGHWAY 90, GAUTIER, MS 39553-6340
(228) 497-9907
Mailing address
1416 SHELBY LN, OCEAN SPRINGS, MS 39564-8770
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1441
MS
Other
Enumeration date
07/15/2026
Last updated
07/15/2026
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