Jackson, Antaures D
Jackson, Antaures D is an individual health care provider with primary practice located at 1720 Phoenix Blvd Suite 450, College Park GA 30349-5594. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Jackson, Antaures D can be contacted via phone (770) 909-0590.Contact Information
Primary practice address
1720 Phoenix Blvd Suite 450
College Park GA 30349-5594
Phone: (770) 909-0590
Fax: (770) 909-1045
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 6713 | Georgia |
Profile Details
| NPI number | 1710011408 |
|---|---|
| LBN Legal business name | Jackson, Antaures D |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 15th, 2007 |
| Last updated | Jan 26th, 2011 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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