Individual
DR. JUSTIN FORDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1900 PASS RD, SUITE D, GULFPORT, MS 39501-5100
(228) 864-6159
(228) 864-3186
Mailing address
1900 PASS RD, SUITE D, GULFPORT, MS 39501-5100
(228) 864-6159
(228) 864-3186
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1218
MS
Other
Enumeration date
01/23/2014
Last updated
01/23/2014
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