MR. CHARLES JACKSON

Driver

Active Individual
NPI: 1043655681

Practice Address

4856 W.12TH
SUITE 1
Cleveland, OH 44109

Phone: (440) 749-3019

Specialties

Specialty Code Primary License
Driver 172A00000X Yes RS884250 (OH)

Frequently Asked Questions

NPI 1043655681 is the National Provider Identifier for MR. CHARLES JACKSON, a Driver provider located in Cleveland, OH. This NPI was enumerated on May 9, 2013.
MR. CHARLES JACKSON practices at 4856 W.12TH, SUITE 1, Cleveland, OH 44109.

Quick Facts

NPI
1043655681
Type
Individual
Enumerated
May 9, 2013
Last Updated
Nov 22, 2013

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