Individual
MEGAN JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
608 PRESTON AVE STE 100, CHARLOTTESVILLE, VA 22903-4566
(434) 293-3800
Mailing address
1808 CLAY DR, CROZET, VA 22932-2880
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104556633
VA
Other
Enumeration date
02/24/2018
Last updated
02/24/2018
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