Individual
MELISSA JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
935 WAYNE RD, SAVANNAH, TN 38372-1904
(731) 926-8000
Mailing address
295 LIBBY LN, COUNCE, TN 38326-3208
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
6900
TN
Other
Enumeration date
01/09/2019
Last updated
02/08/2019
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