DR. TERESA DANIELLE JACKSON


Address: 5304 Panola Industrial Blvd Ste E, Decatur, GA 30035-4065
Phone: 4044455032

DR. TERESA DANIELLE JACKSON (NPI# 1477881696) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1477881696
Entity Type Individual
Full Name DR. TERESA DANIELLE JACKSON
Credential D.C.
Practice Address 5304 Panola Industrial Blvd Ste E
Decatur
GA 30035-4065
Mailing Address 15 Gum Creek Lndg
Oxford
GA 30054-2743
Practice Telephone 4044455032
Practice Fax Number 4048457834
Mailing Telephone (347) 893-0213
Mailing Fax Number 7708170832
Enumeration Date 2009-11-29
Last Update Date 2017-07-26
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 111N00000X Chiropractor CHIR008462 GA Chiropractic Providers

Other Providers TERESA JACKSON

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1972865442 Teresa Alice Jackson Contractor 41 Green St, Valley Stream, NY 11580-4815 2012-06-11
1831317528 Teresa B. Jackson Pharmacist Lower Level Reynolds Gym Wingate Road, Lower Level Reynolds Gym Wingate Road, Winston-salem, NC 27109 2007-04-20
1700982444 Teresa L Jackson Family Medicine 17880 147th St Se, Monroe, WA 98272-1014 2006-09-16
1649744343 Teresa M Jackson Counselor 2392 Edgewood Ave N, Jacksonville, FL 32254-1725 2019-01-15
1306372842 Teresa Lynne Jackson Nurse Practitioner 3450 N Rock Rd Ste 503, Wichita, KS 67226-1355 2017-05-03
1558780478 Teresa Jackson Spec/Tech, Pathology 4010 S Mulberry St, Pine Bluff, AR 71603-7000 2014-04-08
1245582741 Teresa B Jackson Audiologist-Hearing Aid Fitter 2001 Lincoln Dr W, Suite E, Marlton, NJ 08053-1531 2012-10-08
1194001677 Teresa Leigh Jackson Nurse Practitioner 222 22nd Ave N, Suite 400, Nashville, TN 37203 2011-10-27
1700016300 Teresa C Jackson Nurse Practitioner 2780 Bob Wallace Ave Sw, Huntsville, AL 35805-4104 2009-07-17

Office Location

Street Address 5304 PANOLA INDUSTRIAL BLVD STE E
City DECATUR
State GA
Zip Code 30035-4065

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1972079978 James L Vinson, Phd Home Health Aide 4050 Snapfinger Woods Drive, Suite 201, Decatur, GA 30035 2018-10-17
1417445206 Kamla Gonzales Nurse Practitioner 5146 Miller Woods Trl, Decatur, GA 30035 2018-04-26
1578924924 Alicia Marie Johnson Bryant Social Worker 5878 Covington Hwy, Decater, GA 30035 2016-03-14
1568865756 Tracy Roberson Counselor 4150 Snapfinger Woods Drive, Decatur, GA 30035 2014-10-01
1972927861 Tyrone D. Lane Enterprises, Incorporated Psychologist 5304 Panola Industrial Boulevard, Suite L, Decatur, GA 30035 2014-02-12
1013255355 Mervin E Williams Pharmacist 2075 South Hairston, Decatur, GA 30035 2013-01-22
1205187572 Mariana Simpson-walker Speech-Language Pathologist 4262 Clausell Ct Ste A, Decatur, GA 30035 2012-09-27
1053683854 Jimiesh G Crane Dentist 5243 Snapfinger Woods Dr Ste 105, Decatur, GA 30035 2012-02-08
1568765824 Salih Robinson Health Educator 2511 Lantrac Ct, Decatur, GA 30035 2010-12-08
1831428234 Thomas Counseling Counselor 3781 Presidential Parkway, Suite 111c, Chamblee, GA 30035 2009-12-14
Find all providers in zip 30035

Taxonomy Information

Taxonomy Code 111N00000X
Grouping Chiropractic Providers
Classification Chiropractor

Taxonomy 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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1821621590 Ericka Gonzalez-mercado Chiropractor 301 S Washburn St Ste D, Decatur, TX 76234-1658 2020-02-20
1811531684 Kealy Olvera Chiropractor 3910 Flat Shoals Pkwy, Decatur, GA 30034-7510 2019-11-04
1669016143 Atlanta Upper Cervical Chiropractic LLC Chiropractor 125 E Trinity Place, Suite #247, Decatur, GA 30030 2019-10-29
1437700515 Cara Gilligan Chiropractor 409 Mead Rd Unit 3, Decatur, GA 30030-3639 2019-09-20
1164078440 Jodi K Green Chiropractor 2418 Danville Rd Sw Ste C, Decatur, AL 35603-4278 2019-08-13
1134771389 Keysa Bailey Chiropractor 1089 Columbia Dr, Decatur, GA 30030-4728 2019-07-09
1245798545 Xavier Ortiz Valle Chiropractor 1585 Church St Ste 665, Decatur, GA 30033-6059 2019-03-05
1619434388 Peter William Vercellino Chiropractor 3350 N Water St Ste A, Decatur, IL 62526-2353 2019-02-28
1891268439 Timothy A Peck Dc PC Chiropractor 2934 Point Mallard Pkwy Se # B2, Decatur, AL 35603-5700 2019-01-07
1487046066 Haley Wilkins Chiropractor 2605 Danville Rd Sw, Decatur, AL 35603-4216 2015-02-19
Find all providers in DECATUR

Competitor

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City DECATUR
Zip Code 30035

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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