Healthcare Provider Details

I. General information

NPI: 1780197939
Provider Name (Legal Business Name): HEALTHY YOU CHIROPRACTIC AND REHABILITATION CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/09/2017
Last Update Date: 11/09/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

411 BRIARWOOD DR STE 401
JACKSON MS
39206-3058
US

IV. Provider business mailing address

411 BRIARWOOD DR STE 401
JACKSON MS
39206-3058
US

V. Phone/Fax

Practice location:
  • Phone: 601-203-2932
  • Fax: 769-218-0578
Mailing address:
  • Phone: 601-203-2932
  • Fax: 769-218-0578

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QR0400X
TaxonomyRehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. EDWARD HUNT
Title or Position: OWNER
Credential: DC
Phone: 601-203-2932