| NPI | 1407268279 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELODY JACKSON Chiropractor 901-634-6416 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NP0017X Chiropractor, Pediatric Chiropractor (Licence: TN 2609) |
| Additional Taxonomies | 133NN1002X Nutritionist, Nutrition, Education (Licence: TN 2609) |
| Enumeration Date | 2014-05-28 |
| Last Update Date | 2014-05-28 |