Individual
DR. BRADLEY JAY JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
10317 C BONEY AVE., D'IBERVILLE, MS 39540-4836
(228) 392-9106
(228) 392-4664
Mailing address
10317 C BONEY AVE., D'IBERVILLE, MS 39540-4836
(228) 392-9106
(228) 392-4664
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1104
MS
Other
Enumeration date
11/08/2006
Last updated
10/17/2022
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