DR. Charley Dan Jackson, D.C.

NPI #1437485760 in Covington, Tennessee

Provider Information

NPI Number: 1437485760
Entity Type: Individual
Name: DR. Charley Dan Jackson, D.C.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Chiropractor
Credential: D.C.
Enumeration Date: Oct 21, 2009
Last Updated: Feb 21, 2012

Practice Location

Address: 1618 HIGHWAY 51 S
Address 2: SUITE F
City: Covington
State: Tennessee
ZIP Code: 38019-3237
Phone: (901) 476-7171

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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