DR. Charles William Jackson, M.D.

NPI #1083662845 in Huntington Beach, California

Provider Information

NPI Number: 1083662845
Entity Type: Individual
Name: DR. Charles William Jackson, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: General Practice
Credential: M.D.
Enumeration Date: May 4, 2006
Last Updated: Jul 30, 2010

Practice Location

Address: 17122 BEACH BLVD
Address 2: SUITE 102
City: Huntington Beach
State: California
ZIP Code: 92647-5992
Phone: (714) 847-6545

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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