Organization
58 FAMILY CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON JACKSON D.C. (CLINIC DIRECTOR)
(423) 490-1216
Entity
Organization
Contact information
Practice address
4421 HIGHWAY 58, SUITE 2, CHATTANOOGA, TN 37416-3012
(423) 490-1216
(423) 490-1416
Mailing address
4421 HIGHWAY 58, SUITE 2, CHATTANOOGA, TN 37416-3012
(423) 490-1216
(423) 490-1416
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0000002010
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4117132
TN BC/BS
TN
Enumeration date
09/20/2006
Last updated
08/22/2020
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