Dr Carson Samuel Jordan I, DC | |
1725 Central Ave W, Wiggins, MS 39577-2434 | |
(601) 928-9095 | |
(601) 928-9383 |
Full Name | Dr Carson Samuel Jordan I |
---|---|
Gender | Male |
Speciality | Chiropractor |
Location | 1725 Central Ave W, Wiggins, Mississippi |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1831942416 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 1394 (Mississippi) | Primary |
Provider Name | Stanley S Jordan |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1932283546 PECOS PAC ID: 8820260243 Enrollment ID: I20111007000161 |
Mailing Address | Practice Location Address |
---|---|
Dr Carson Samuel Jordan I, DC 1725 Central Ave W, Wiggins, MS 39577-2434 Ph: (601) 928-9095 | Dr Carson Samuel Jordan I, DC 1725 Central Ave W, Wiggins, MS 39577-2434 Ph: (601) 928-9095 |
Jordan Chiropractic, P.a. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1725 Central Ave W, Wiggins, MS 39577 Phone: 601-928-9095 Fax: 601-928-9383 | |
Cornerstone Chiropractic Pllc Chiropractor Medicare: Medicare Enrolled Practice Location: 1528 Azalea Dr S, Wiggins, MS 39577 Phone: 601-746-5224 | |
Dr. Misty N Ratliff, DC Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 1528 Azalea Drive South, Wiggins, MS 39577 Phone: 601-746-5224 Fax: 601-746-5204 | |
Rebekah Parker, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1528 Azalea Dr S, Wiggins, MS 39577 Phone: 601-746-5224 | |
Dr. Stanley S. Jordan, D.C. Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 1725 Central Ave W, Wiggins, MS 39577 Phone: 601-928-9095 Fax: 601-928-9383 |