Kenneth G Jackson JR., MD
NPI #1801183710 in Clemson, South Carolina
Provider Information
- NPI Number
- 1801183710
- Entity Type
- Individual
- Name
- Kenneth G Jackson JR., MD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Family Medicine
- Credential
- MD
- Enumeration Date
- Jun 30, 2011
- Last Updated
- Dec 1, 2022
Practice Location
- Address
- 885 TIGER BLVD
- City
- Clemson
- State
- South Carolina
- ZIP Code
- 29631-1480
- Phone
- (864) 654-2067
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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