Individual
DR. WILLIAM MARC JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
7197 HIGHWAY 278 NE, COVINGTON, GA 30014-1533
(770) 786-4854
(770) 786-2674
Mailing address
7197 HIGHWAY 278 NE, COVINGTON, GA 30014-1533
(770) 786-4854
(770) 786-2674
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR004915
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00625798A
—
GA
Enumeration date
09/25/2006
Last updated
07/08/2007
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