Individual provider · Type 1 NPI
Taylor Jackson, DC
Chiropractor · Atlanta, GA
NPI number
1235715202
Active
Practice location
2140 Peachtree Rd NW Ste 203
Atlanta, GA 30309-1316
Mailing address
1824 Defoor Ave NW Apt 4105
Atlanta, GA 30318-3061
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | CHIR010409 (GA) |
Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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About NPI 1235715202
Taylor Jackson, DC's National Provider Identifier is 1235715202, issued on Mar 22, 2021. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Atlanta, GA. The record was last updated on Apr 23, 2021.