NPI 1033366505

Jackson County Chiropractic Clinic PA

Organisation Chiropractor Moss Point, MS

Practice location

Address: 8820 Highway 613, Moss Point, MS 39562-8102
Phone: (228) 475-0676
Mailing address: PO Box 656, Escatawpa, MS 39552-0656

Authorised official

Name: Gary Lee Branham
Title: Owner
Phone: (228) 475-0676

Registered specialties

Chiropractor Primary

Chiropractic Providers Taxonomy 111N00000X Licence 0429 (MS)

Other Chiropractor providers in Mississippi →

Registry record

NPI: 1033366505
Entity type: Organization
NPI issued: 26 Aug 2008
Record last updated: 26 Aug 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.