Organization
JACKSON CLINIC OF CHIROPRACTIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICK HARRIS JACKSON DC (DOCTOR OF CHIROPRACTIC)
(336) 475-8157
Entity
Organization
Contact information
Practice address
630 NATIONAL HWY, THOMASVILLE, NC 27360-2601
(336) 475-8157
(336) 475-8160
Mailing address
630 NATIONAL HWY, THOMASVILLE, NC 27360-2601
(336) 475-8157
(336) 475-8160
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
738
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08520
BCBS PROVIDER #
NC
01
—
1437160124
NPI TYPE 1 #
NC
Enumeration date
11/06/2006
Last updated
04/05/2017
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