Thad Jackson, MD

NPI #1134177108 in Elizabethtown, Kentucky

Provider Information

NPI Number: 1134177108
Entity Type: Individual
Name: Thad Jackson, MD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Neurological Surgery
Credential: MD
Enumeration Date: May 4, 2006
Last Updated: May 25, 2012

Practice Location

Address: 1700 RING RD
City: Elizabethtown
State: Kentucky
ZIP Code: 42701-9497
Phone: (270) 769-5551

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Neurological Surgery	207T00000X	Primary

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Organizations

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