Organization
HEALTHSOURCE OF JACKSON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GINA ANN HEATHCOTT D.C. (OWNER)
(731) 661-0390
Entity
Organization
Contact information
Practice address
384 CARRIAGE HOUSE DR STE C, JACKSON, TN 38305-2268
(731) 661-0390
(731) 664-6697
Mailing address
384 CARRIAGE HOUSE DR STE C, JACKSON, TN 38305-2268
(731) 661-0390
(731) 664-6697
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1931
TN
Other
Enumeration date
04/01/2011
Last updated
04/01/2011
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