DR. Thomas L Jackson, M.D.

NPI #1154308997 in Columbus, Indiana

Provider Information

NPI Number: 1154308997
Entity Type: Individual
Name: DR. Thomas L Jackson, M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: M.D.
Enumeration Date: Dec 22, 2005
Last Updated: Aug 2, 2010

Practice Location

Address: 2450 N PARK DR
City: Columbus
State: Indiana
ZIP Code: 47203-2216
Phone: (812) 376-8997

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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