Thomas R Jackson in Charlotte - Pain Medicine

Thomas R Jackson - NPI 1790765667

Thomas R Jackson is a Pain Medicine in Charlotte, North Carolina. Thomas R Jackson practices all healthcare services and medical treatments related to Pain Medicine. The NPI Number for Thomas R Jackson is 1790765667. The last update date is 2015-01-27.

Thomas R Jackson's current location address is Po Box 601372, Charlotte, North Carolina. You can contact this provider via phone number 7045124808 and fax number 7045124838. The mailing address for Thomas R Jackson is Po Box 601372, Charlotte, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name Thomas R Jackson
Address Po Box 601372, Charlotte, North Carolina
Phone Number 7045124808
Fax Number 7045124838
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1790765667
Provider Enumeration Date 2006-01-18
Last Updated Date 2015-01-27

Provider Mailing Address Detail

Address Po Box 601372
City Charlotte
State North Carolina (NC)
Post Code 282601372
Phone Number 7045124808
Fax Number 7045124838

Provider's Primary Taxonomy Detail

Speciality Pain Medicine
Taxonomy 2081P2900X
Licence No MD13171
Definition:
A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated wit

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
5918134 NC --
TJ79199 RI --
1790765667 NC --
NC1445 SC --

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FAQs about Thomas R Jackson

What is the unique 10-digit identifier code assigned to Thomas R Jackson by the Centers for Medicare & Medicaid Services?

The Thomas R Jackson has been issued the NPI (National Provider Identifier) 1790765667 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please provide the complete physical location address of Thomas R Jackson?

The Thomas R Jackson is physically situated at Po Box 601372, in the city of Charlotte, state of NC, with the postal code 282601372.

What is the Thomas R Jackson's specialty and taxonomy code?

The Thomas R Jackson's specialty is Pain Medicine, and the corresponding taxonomy code is 2081P2900X.

When was the Thomas R Jackson's 1790765667 issued?

The Thomas R Jackson's 1790765667 was issued on 2006-01-18.

As of what date was the information regarding Thomas R Jackson, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Thomas R Jackson, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2015-01-27.

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