Individual provider · Type 1 NPI

Antaures D. Jackson, DC

Chiropractor · College Park, GA

NPI number 1710011408 Active

Practice location

1720 Phoenix Blvd, Suite 450
College Park, GA 30349-5594

Call (770) 909-0590 Map

Fax (770) 909-1045

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000X6713 (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.

13 other providers at this address

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About NPI 1710011408

Antaures D. Jackson, DC's National Provider Identifier is 1710011408, issued on Mar 15, 2007. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in College Park, GA. The record was last updated on Jan 26, 2011.