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DR. MELODY JACKSON D.C.

Chiropractic Providers Chiropractor Internist

Provider NPI: 1881149029

Provider Information:
DR. MELODY  JACKSON D.C.
Gender: F
Sole Proprietor

Practice Location:
1325 EASTMORELAND AVE SUITE 425 MEMPHIS, TN 38104-3519 US
Tel: 901-272-3200  Fax: --

Business Mailing Address:
1325 EASTMORELAND AVE SUITE 425 MEMPHIS, TN 38104-3519 US
Tel: 901-272-3200  Fax: --

NPI Information:
NPI: 1881149029
Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N111NI0900XChiropractic Providers
Chiropractor
Internist
TN2609
Y111NN1001XChiropractic Providers
Chiropractor
TN2609
N111NP0017XChiropractic Providers
Chiropractor
TN2609

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 111NN1001X

Type:

Classification:



Definition:



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