Provider Demographics
NPI:1003051327
Name:JOCKERS, DAVID C (DC)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:C
Last Name:JOCKERS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2750 JILES RD NW
Mailing Address - Street 2:105
Mailing Address - City:KENNESAW
Mailing Address - State:GA
Mailing Address - Zip Code:30144-7327
Mailing Address - Country:US
Mailing Address - Phone:706-969-9813
Mailing Address - Fax:
Practice Address - Street 1:2750 JILES RD NW
Practice Address - Street 2:105
Practice Address - City:KENNESAW
Practice Address - State:GA
Practice Address - Zip Code:30144-7327
Practice Address - Country:US
Practice Address - Phone:706-969-9813
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-12-16
Last Update Date:2008-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR008414111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor