Individual
DR. TAYLOR JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
2140 PEACHTREE RD NW STE 203, ATLANTA, GA 30309-1316
(404) 355-5499
Mailing address
1824 DEFOOR AVE NW APT 4105, ATLANTA, GA 30318-3061
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR010409
GA
Other
Enumeration date
03/22/2021
Last updated
04/23/2021
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