Organization
JACKSON CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDY JACKSON STROMAN D.C (CHIROPRACTOR)
(803) 564-6000
Entity
Organization
Contact information
Practice address
147 MAIN STREET, WAGENER, SC 29164
(803) 564-6000
(803) 564-6011
Mailing address
PO BOX 125, WAGENER, SC 29164-0125
(803) 564-6000
(803) 564-6011
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3479
SC
Other
Enumeration date
11/19/2013
Last updated
11/09/2015
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