DR. THEODORE JACKSON, M.D.
Plastic Surgery
Active
Individual
NPI: 1942294376
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Plastic Surgery | 208200000X | Yes | 13531 (WV) |
| Plastic Surgery - Surgery of the Hand | 2082S0105X | No | 13531 (WV) |
Frequently Asked Questions
NPI 1942294376 is the National Provider Identifier for DR. THEODORE JACKSON, M.D., a Plastic Surgery provider located in Charleston, WV. This NPI was enumerated on August 31, 2005.
DR. THEODORE JACKSON, M.D. practices at 1306 KANAWHA BLVD E, SUITE 100, Charleston, WV 25301.
Quick Facts
- NPI
- 1942294376
- Type
- Individual
- Enumerated
- Aug 31, 2005
- Last Updated
- Mar 12, 2009
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