| 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 |
|---|---|
| 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 |