Meghan Genelle Jackson MD

NPI 1407984768 - Pediatrics - 208000000X

NPI Details
NPI 1407984768
Gender Female
Enumeration Date 03/01/2007
Last Updated 07/01/2013
Entity Type Individual
Active Over 10 years ago
Practice Location
CHARLOTTE NC, 28211-1368, US
Phone (704) 512-4475
Fax (704) 512-4476
Business Location
PO BOX 602478
CHARLOTTE NC, 28260-2478, US
Phone (704) 512-4475
Fax (704) 512-4476
Taxonomy Code 208000000X
License State North Carolina
License Number 135728
Remove 1407984768 NPI Number

According to our database, Dr. Meghan Genelle Jackson MD NPI is 1407984768, taxonomy code is 208000000X and license number is 135728, license state is located at North Carolina. Meghan Genelle Jackson MD physically located at 3030 Randolph Rd, Charlotte NC, 28211-1368. NPI Number Meghan Genelle Jackson MD has the Individual type.

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1407984768 NPI number is provided on an as is basis without warranty of any kind. 1407984768 is maintained by the National Plan & Provider Enumeration System. The contents of Meghan Genelle Jackson MD are for informational purposes only.