Individual
DR. CHRISTIAN TYLER JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
120 UNIONVILLE INDIAN TRAIL RD W STE C102, INDIAN TRAIL, NC 28079-5670
(704) 821-5000
Mailing address
120 UNIONVILLE INDIAN TRAIL RD W STE C102, INDIAN TRAIL, NC 28079-5670
(704) 821-5000
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5092
NC
Other
Enumeration date
03/20/2020
Last updated
03/20/2020
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