Woody H Jackson MD

NPI 1073587598 - Internal Medicine - 207R00000X

NPI Details
NPI 1073587598
Gender Male
Enumeration Date 02/13/2006
Last Updated 08/19/2014
Entity Type Individual
Active Over 10 years ago
Practice Location
2131 S 17TH ST
WILMINGTON NC, 28401-7407, US
Phone (910) 815-5830
Fax (910) 815-5698
Business Location
PO BOX 3515
CHAPEL HILL NC, 27515-3515, US
Phone (919) 308-1562
Taxonomy Code 207R00000X
License State Pennsylvania
License Number MD063122L
Remove 1073587598 NPI Number

According to our database, Dr. Woody H Jackson MD NPI is 1073587598, taxonomy code is 207R00000X and license number is MD063122L, license state is located at Pennsylvania. Woody H Jackson MD physically located at 2131 S 17th St, Wilmington NC, 28401-7407. NPI Number Woody H Jackson MD has the Individual type.

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1073587598 NPI number is provided on an as is basis without warranty of any kind. 1073587598 is maintained by the National Plan & Provider Enumeration System. The contents of Woody H Jackson MD are for informational purposes only.