Restoration Chiropractic Inc. | |
3710 I 55 N, Jackson, MS 39211-6323 | |
(601) 981-2273 | |
(601) 981-0578 |
Full Name | Restoration Chiropractic Inc. |
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Type | Facility |
Speciality | Chiropractor |
Location | 3710 I 55 N, Jackson, Mississippi |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1942947262 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | (* (Not Available)) | Primary |
Provider Name | Jeremy E Wilson |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1447703277 PECOS PAC ID: 4082901178 Enrollment ID: I20160916000804 |
Mailing Address | Practice Location Address |
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Restoration Chiropractic Inc. 3710 I 55 N, Jackson, MS 39211-6323 Ph: (601) 981-2273 | Restoration Chiropractic Inc. 3710 I 55 N, Jackson, MS 39211-6323 Ph: (601) 981-2273 |
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