Brandon Family Chiropractic LLC

Organization Active NPI Chiropractor · Brandon, MS

NPI 1013419563 · NPPES record last updated Mar 1, 2018

Key facts

NPI
1013419563
Entity type
Organization (NPI type 2)
Primary specialty
Chiropractor 111N00000X
License
1256 (MS)
Legal business name
BRANDON FAMILY CHIROPRACTIC LLC
Practice address
1350 West Government Street Suite A1
Brandon, MS 39042
Phone
(601) 527-7274
Fax
(601) 527-7274
NPI assigned
Mar 1, 2018
Organization subpart
No

Authorized official

Name
Haley Jo Wilson, DC
Title
Owner
Phone
(601) 527-7274

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

1350 W Government St
Ste A1
Brandon, MS 39042
Phone (601) 527-7274

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor
Group: 193400000X SINGLE SPECIALTY GROUP
111N00000X 1256 MS Yes

Addresses

Primary practice location

1350 West Government Street Suite A1
Brandon, MS 39042

Mailing address

2003 Cross Creek Cove
Brandon, MS 39042

Other providers in Brandon, MS

All providers in Brandon, MS · Chiropractor in Mississippi

Sources for this page

Verify at the official NPI Registry.