Search › Tennessee › 111N00000X
Jerry Shackelford, D. C
NPI 1417073826 · on the registry since 2007 · sole proprietor
Practice
- Address
- 521 E Campbell Rd
Madison, TN 37115 - Phone
- (615) 944-2305
- Fax
- (615) 868-2596
Registry record
- Primary taxonomy
- 111N00000X
111N00000X
- Licence states on file
- TN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
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 Tennessee