DR. Jack Carter Shackelford, D.C.

NPI #1952752818 in Florence, South Carolina

Provider Information

NPI Number: 1952752818
Entity Type: Individual
Name: DR. Jack Carter Shackelford, D.C.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Chiropractor
Credential: D.C.
Enumeration Date: Jun 22, 2016
Last Updated: Jun 22, 2016

Practice Location

Address: 311 WEST PALMETTO STREET
City: Florence
State: South Carolina
ZIP Code: 29501
Phone: (843) 662-2811

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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