Richard G Jackson JR. M.D,

NPI 1023080025 - Pathology - 207ZP0102X

NPI Details
NPI 1023080025
Gender Male
Enumeration Date 02/03/2006
Last Updated 02/21/2008
Entity Type Individual
Active Over 11 years ago
Practice Location
217 S 3RD ST
DANVILLE KY, 40422-1823, US
Phone (859) 239-2220
Fax (859) 239-6732
Business Location
PO BOX 30309
CHARLESTON SC, 29417-0309, US
Phone (843) 284-3400
Fax (843) 284-3401
Taxonomy Code 207ZP0102X
License State Kentucky
License Number 18160
Remove 1023080025 NPI Number

According to our database, Dr. Richard G Jackson JR. M.D, NPI is 1023080025, taxonomy code is 207ZP0102X and license number is 18160, license state is located at Kentucky. Richard G Jackson JR. M.D, physically located at 217 S 3rd St, Danville KY, 40422-1823. NPI Number Richard G Jackson JR. M.D, has the Individual type.

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1023080025 NPI number is provided on an as is basis without warranty of any kind. 1023080025 is maintained by the National Plan & Provider Enumeration System. The contents of Richard G Jackson JR. M.D, are for informational purposes only.