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Individual

DR. ADAM WAYNE JACKSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
119 COLONY CROSSING WAY, MADISON, MS 39110-6322
(601) 898-0456
Mailing address
305 TURTLE HOLW, BRANDON, MS 39047-5059
(601) 672-9356

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1378
MS

Other

Enumeration date
05/06/2024
Last updated
05/06/2024
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