Individual
PORTER JACKSON III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1518 S POPLAR ST, PINE BLUFF, AR 71601-6249
(870) 595-4878
Mailing address
1518 S POPLAR ST, PINE BLUFF, AR 71601-6249
(870) 595-4878
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
16032
AR
Other
Enumeration date
01/23/2015
Last updated
01/23/2015
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