# DR JACK CHIROPRACTOR INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356836753
- **Authorized official:** DR. JACK EDWARD NEWSOME JR. DC (OWNER)
- **Authorized official phone:** (864) 607-0197

## Contact information

- **Practice address:** 6335C CALHOUN MEMORIAL HWY STE C, EASLEY, SC 29640-3784
- **Practice address phone:** (864) 859-8282
- **Practice address fax:** (864) 859-3628
- **Mailing address:** 6335C CALHOUN MEMORIAL HWY STE C, EASLEY, SC 29640-3784
- **Mailing address phone:** (864) 859-8282
- **Mailing address fax:** (864) 859-3628

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | 2259 | SC | Yes |

## Other

- **Enumeration date:** 06/27/2018
- **Last updated:** 06/27/2018