SAMUEL JACKS, MD

Thoracic Surgery (Cardiothoracic Vascular Surgery)

Active Individual
NPI: 1184828030

Practice Address

4622 COUNTRY CLUB RD
SUITE 180
Winston Salem, NC 27104

Phone: (336) 768-9535

Specialties

Specialty Code Primary License
Surgery 208600000X No 2015-01953 (NC)
Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X Yes 2015-01953 (NC)

Frequently Asked Questions

NPI 1184828030 is the National Provider Identifier for SAMUEL JACKS, MD, a Thoracic Surgery (Cardiothoracic Vascular Surgery) provider located in Winston Salem, NC. This NPI was enumerated on June 13, 2007.
SAMUEL JACKS, MD practices at 4622 COUNTRY CLUB RD, SUITE 180, Winston Salem, NC 27104.

Quick Facts

NPI
1184828030
Type
Individual
Enumerated
Jun 13, 2007
Last Updated
Oct 25, 2020

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