Individual
DR. TERESA DANIELLE JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
5304 PANOLA INDUSTRIAL BLVD STE E, DECATUR, GA 30035-4065
(404) 445-5032
(404) 845-7834
Mailing address
15 GUM CREEK LNDG, OXFORD, GA 30054-2743
(347) 893-0213
(770) 817-0832
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR008462
GA
Other
Enumeration date
11/29/2009
Last updated
07/21/2022
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