Michaela L Jackson, A.T.C

NPI #1154873057 in Clinton, South Carolina

Provider Information

NPI Number: 1154873057
Entity Type: Individual
Name: Michaela L Jackson, A.T.C
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Student in an Organized Health Care Education/Training Program
Credential: A.T.C
Enumeration Date: Oct 27, 2016
Last Updated: Oct 27, 2016

Practice Location

Address: 105 ASHLAND AVE
City: Clinton
State: South Carolina
ZIP Code: 29325-2960
Phone: (864) 833-7098

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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