DR. Jerry Baxter Shackelford, D. C.

NPI #1417073826 in Madison, Tennessee

Provider Information

NPI Number: 1417073826
Entity Type: Individual
Name: DR. Jerry Baxter Shackelford, D. C.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Chiropractor
Credential: D. C.
Enumeration Date: Mar 21, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 521 E CAMPBELL RD
City: Madison
State: Tennessee
ZIP Code: 37115-2501
Phone: (615) 944-2305

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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