NPI 1023513363

Angenique Gloriann Jackson, DC

Practitioner Chiropractor Fort Mill, SC

Practice location

Address: 1171 Market St STE 112, Fort Mill, SC 29708-6502
Phone: (803) 802-7799
Mailing address: 316 Inland Cove CT, Clover, SC 29710-8071

Registered specialties

Chiropractor Primary

Chiropractic Providers Taxonomy 111N00000X Licence 4320 (SC)

Other Chiropractor providers in South Carolina →

Registry record

NPI: 1023513363
Entity type: Individual
Sex (as registered): Female
NPI issued: 28 Mar 2018
Record last updated: 28 Mar 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.