Individual
JOHN WARREN JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
4072 SULLIVAN ST, SUITE D, MADISON, AL 35758-1732
(256) 464-9067
(256) 464-9160
Mailing address
306 HONOR WAY, MADISON, AL 35758-6280
(256) 325-0220
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1977
AL
Other
Enumeration date
02/15/2006
Last updated
09/20/2010
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