Healthsource of Jackson

NPI #1811286651 in Jackson, Tennessee

Provider Information

NPI Number: 1811286651
Entity Type: Organization
Organization Name: Healthsource of Jackson
Primary Specialty: Chiropractor
Enumeration Date: Apr 1, 2011
Last Updated: Apr 1, 2011

Practice Location

Address: 384 CARRIAGE HOUSE DR STE C
City: Jackson
State: Tennessee
ZIP Code: 38305-2268
Phone: (731) 661-0390

Authorized Official

Name: DR. GINA ANN HEATHCOTT, D.C.
Title: OWNER
Phone: (731) 661-0390

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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