DR. TIMOTHY JACKSON, MD, SA-C
Specialist/Technologist, Other - Surgical Assistant
Active
Individual
NPI: 1093710089
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Orthopaedic Surgery | 207X00000X | No | 14510 (MS) |
| Specialist/Technologist, Other - Surgical Assistant | 246ZC0007X | Yes | 19-516 () |
Frequently Asked Questions
NPI 1093710089 is the National Provider Identifier for DR. TIMOTHY JACKSON, MD, SA-C, a Specialist/Technologist, Other - Surgical Assistant provider located in Gulfport, MS. This NPI was enumerated on June 16, 2005.
DR. TIMOTHY JACKSON, MD, SA-C practices at 4500 13TH ST, Gulfport, MS 39501.
Quick Facts
- NPI
- 1093710089
- Type
- Individual
- Enumerated
- Jun 16, 2005
- Last Updated
- Jan 14, 2026
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