Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRANDY JACKSON, DC
Active Sole ProprietorBRANDY JACKSON, DC is a Chiropractor healthcare provider located in WAGENER, South Carolina. NPI 1750687513 is currently active in the NPPES registry. Verify at CMS.
Chiropractor · WAGENER, SC
Registration Details
- NPI Number
- 1750687513
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 26, 2011 (15.548256503226 yrs)
- Last Updated
- Aug 29, 2013
- License
-
3479 (SC)
- Sole Proprietor
- Yes
Practice Information
- Address
-
147 MAIN STREETWAGENER, SC, 291649442Browse SC providers · Browse ZIP 29164
- Phone
- 8035646000
- Fax
- 8035646011
- Primary Specialty
-
Chiropractor
111N00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.