Kelli Jackson

NPI #1619092574 in Cleveland, Tennessee

Provider Information

NPI Number
1619092574
Entity Type
Organization
Organization Name
Kelli Jackson
Primary Specialty
Optometrist
Enumeration Date
Mar 20, 2007
Last Updated
Jul 3, 2008

Practice Location

Address
114 STUART RD NE
Address 2
#102
ZIP Code
37312-4803
Phone
(252) 985-1371

Authorized Official

Name
KELLI J JACKSON, OD
Title
OPTOMETRIST
Phone
(252) 985-1371

Specialties & Taxonomy Codes

Specialty
Optometrist

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