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Chadwick Thomas Jackson, DC
Chiropractor in Georgetown, Kentucky
NPI 1407354509

Chadwick Thomas Jackson is a Chiropractor based in Georgetown, KY. Chadwick Thomas Jackson practices in Georgetown, KY and has the professional credentials of DC. The NPI Number for Chadwick Thomas Jackson is 1407354509 and holds a License No. 5563 (Kentucky).

The current practice location address for Chadwick Thomas Jackson is 205 Champion Way Ste 9, Georgetown, KY and can be reached out via phone at 615-516-5194.

Location: 205 Champion Way Ste 9, Georgetown, KY, 40324-8862
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1407354509
Provider Name
Chadwick Thomas Jackson
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
205 Champion Way Ste 9, Georgetown, KY, 40324-8862
Phone Number
615-516-5194
Fax Number
Provider Enumeration Date
01/24/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5563 01 KY LICENSE NUMBER
institution
Provider Business Practice Location Address Details
Address
205 Champion Way Ste 9
City
Georgetown
State
Kentucky
Zip
40324-8862
Phone Number
615-516-5194
Fax Number
person
Provider Business Mailing Address Details
Address
205 Champion Way Ste 9
City
Georgetown
State
Kentucky
Zip
40324-8862
Phone Number
615-516-5194
Fax Number
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
5563 (Kentucky)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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