DR. Antaures D Jackson, D.C.
NPI #1710011408 in College Park, Georgia
Provider Information
- NPI Number
- 1710011408
- Entity Type
- Individual
- Name
- DR. Antaures D Jackson, D.C.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Chiropractor
- Credential
- D.C.
- Enumeration Date
- Mar 15, 2007
- Last Updated
- Jan 26, 2011
Practice Location
- Address
- 1720 PHOENIX BLVD
- Address 2
- SUITE 450
- City
- College Park
- State
- Georgia
- ZIP Code
- 30349-5594
- Phone
- (770) 909-0590
Specialties & Taxonomy Codes
| Specialty |
|---|
| Chiropractor |
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