Search › Georgia › 111N00000X
Penny Jackson, D.C
NPI 1194997270 · on the registry since 2008 · sole proprietor
Practice
- Address
- 1161 Highway 135 S
Suite 1
Willacoochee, GA 31650 - Phone
- (912) 381-0064
- Fax
- (912) 534-6176
- Organisation at this address
- Willacoochee Chiropractic Clinic
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 111N00000X
111N00000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2008-04-22
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia