Healthcare Provider Details

I. General information

NPI: 1548298078
Provider Name (Legal Business Name): JACK C POLLARD D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/30/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12 ASHLAND TER
CHATTANOOGA TN
37415-4142
US

IV. Provider business mailing address

12 ASHLAND TER
CHATTANOOGA TN
37415-4142
US

V. Phone/Fax

Practice location:
  • Phone: 423-877-3322
  • Fax: 423-877-2225
Mailing address:
  • Phone: 423-877-3322
  • Fax: 423-877-2225

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC 270
License Number StateTN
# 2
Primary TaxonomyY
Taxonomy Code111NS0005X
TaxonomySports Physician Chiropractor
License NumberDC 270
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: