Alan F Jacks, MD PA

NPI #1669471777 in Rutherford College, North Carolina

Provider Information

NPI Number: 1669471777
Entity Type: Organization
Organization Name: Alan F Jacks, MD PA
Primary Specialty: Surgery
Enumeration Date: Jul 20, 2005
Last Updated: Sep 8, 2011

Practice Location

Address: 845 MALCOLM BLVD
City: Rutherford College
State: North Carolina
ZIP Code: 28671-0476
Phone: (828) 874-0555

Authorized Official

Name: MR. ALAN F. JACKS, M.D.
Title: PRESIDENT
Phone: (828) 874-0555

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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