KATHY JACKSON, D.O.

Family Medicine

Active Individual
NPI: 1215971379

Practice Address

502 W CENTRAL AVE
La Follette, TN 37766

Phone: (423) 562-1705

Specialties

Specialty Code Primary License
Family Medicine 207Q00000X Yes 5101013273 (MI)

Frequently Asked Questions

NPI 1215971379 is the National Provider Identifier for KATHY JACKSON, D.O., a Family Medicine provider located in La Follette, TN. This NPI was enumerated on June 16, 2006.
KATHY JACKSON, D.O. practices at 502 W CENTRAL AVE, La Follette, TN 37766.

Quick Facts

NPI
1215971379
Type
Individual
Enumerated
Jun 16, 2006
Last Updated
Jul 8, 2007

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