| NPI | 1598000309 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JARRETT DALE JOHNSON President/Doctor 228-392-4000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MS 1052) |
| Enumeration Date | 2012-12-05 |
| Last Update Date | 2012-12-05 |