Chiropractic of the South, PLLC
Organization Active NPI Chiropractor · Madison, MS
NPI 1811249667 · NPPES record last updated Nov 21, 2012
Key facts
- NPI
- 1811249667
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- 1189 (MS)
- Legal business name
- CHIROPRACTIC OF THE SOUTH, PLLC
- Practice address
- 1029 Highway 51
Ste. F2
Madison, MS 39110-6603 - Phone
- (601) 605-0903
- Fax
- (601) 510-9415
- NPI assigned
- Oct 3, 2012
- Organization subpart
- No
Authorized official
- Name
- Dr. Brandon Sloane Fortinberry, D.C.
- Title
- Dr./Owner
- Phone
- (601) 605-0903
National Provider Directory
Locations
1029 Highway 51
Ste F2
Madison, MS 39110
Phone (601) 605-0309
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | 1189 | MS | Yes |
Addresses
Primary practice location
1029 Highway 51
Ste. F2
Madison, MS 39110-6603
Mailing address
1029 Highway 51
Ste. F2
Madison, MS 39110-6603
Phone (601) 605-0903
Other providers in Madison, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 21, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.