Reservoir Chiropractic-back Care Center, Inc. | |
1149 Old Fannin Rd, Suite 22, Brandon, MS 39047-9244 | |
(601) 992-3050 | |
(601) 992-3051 |
Full Name | Reservoir Chiropractic-back Care Center, Inc. |
---|---|
Type | Facility |
Speciality | Chiropractor |
Location | 1149 Old Fannin Rd, Brandon, Mississippi |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1922254929 | NPI | - | NPPES |
350000104 | Other | MS | MEDICARE IDENTIFICATION NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 0230 (Mississippi) | Primary |
Mailing Address | Practice Location Address |
---|---|
Reservoir Chiropractic-back Care Center, Inc. 1149 Old Fannin Rd, Suite 22, Brandon, MS 39047-9244 Ph: (601) 992-3050 | Reservoir Chiropractic-back Care Center, Inc. 1149 Old Fannin Rd, Suite 22, Brandon, MS 39047-9244 Ph: (601) 992-3050 |
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