DR. Thomas James Jackson, M.D.

NPI #1528262698 in Sullivan, Missouri

Provider Information

NPI Number: 1528262698
Entity Type: Individual
Name: DR. Thomas James Jackson, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine
Credential: M.D.
Enumeration Date: Jun 13, 2007
Last Updated: May 13, 2021

Practice Location

Address: 965 MATTOX DR
City: Sullivan
State: Missouri
ZIP Code: 63080-2365
Phone: (573) 860-6000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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