James Edward Jackson M.D.

NPI 1033279864 - Pediatrics - 208000000X

NPI Details
NPI 1033279864
Gender Male
Enumeration Date 12/11/2006
Last Updated 07/01/2011
Entity Type Individual
Active Over 9 years ago
Practice Location
212 E MAIN ST
MOREHEAD KY, 40351-1620, US
Phone (606) 784-8518
Fax (606) 784-8899
Business Location
212 E MAIN ST
MOREHEAD KY, 40351-1620, US
Phone (606) 784-8518
Fax (606) 784-8899
Toxanomy
Taxonomy Code 208000000X
License State Kentucky
License Number 14467
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According to our database, Dr. James Edward Jackson M.D. NPI is 1033279864, taxonomy code is 208000000X and license number is 14467, license state is located at Kentucky. James Edward Jackson M.D. physically located at 212 E Main St, Morehead KY, 40351-1620. NPI Number James Edward Jackson M.D. has the Individual type.

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1033279864 NPI number is provided on an as is basis without warranty of any kind. 1033279864 is maintained by the National Plan & Provider Enumeration System. The contents of James Edward Jackson M.D. are for informational purposes only.