Organization
FAMILY CHIROPRACTIC OF HAMPTON ROADS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAUN CHARLES JACKSON D.C. (OWNER/PHYSICIAN)
(757) 351-3778
Entity
Organization
Contact information
Practice address
1920 CENTERVILLE TPKE, SUITE 95, VIRGINIA BEACH, VA 23464-6800
(757) 351-3778
(757) 479-8855
Mailing address
1920 CENTERVILLE TPKE, SUITE 95, VIRGINIA BEACH, VA 23464-6800
(757) 351-3778
(757) 479-8855
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104556741
VA
Other
Enumeration date
11/30/2009
Last updated
02/25/2010
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