Search › Tennessee › 171WH0202X
Corey Jackson
NPI 1972873321 · on the registry since 2012 · sole proprietor
Practice
- Address
- 130 Mankin Pl
La Vergne, TN 37086 - Phone
- (931) 722-1443
Registry record
- Primary taxonomy
- 171WH0202X
171WH0202X
- Sex
- Male
- Record last updated
- 2012-01-03
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