Individual
DR. JACK CARTER SHACKELFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
311 WEST PALMETTO STREET, FLORENCE, SC 29501
(843) 662-2811
Mailing address
1339 ST. LUKES ROAD, HAMER, SC 29547
(843) 774-9022
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3541
SC
Other
Enumeration date
06/22/2016
Last updated
06/22/2016
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