Individual
DR. STANLEY S. JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1725 CENTRAL AVE W, WIGGINS, MS 39577-2434
(601) 928-9095
(601) 928-9383
Mailing address
307 CENTRAL AVE E, WIGGINS, MS 39577-2715
(601) 928-9095
(601) 928-9383
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
881
MS
Other
Enumeration date
10/24/2006
Last updated
04/15/2024
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