DR. Christian Tyler Jackson

NPI #1720614837 in Indian Trail, North Carolina

Provider Information

NPI Number: 1720614837
Entity Type: Individual
Name: DR. Christian Tyler Jackson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Chiropractor
Enumeration Date: Mar 20, 2020
Last Updated: Mar 20, 2020

Practice Location

Address: 120 UNIONVILLE INDIAN TRAIL RD W STE C102
City: Indian Trail
State: North Carolina
ZIP Code: 28079-5670
Phone: (704) 821-5000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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