DR. Theodore A. Jackson, M.D.
NPI #1942294376 in Charleston, West Virginia
Provider Information
- NPI Number
- 1942294376
- Entity Type
- Individual
- Name
- DR. Theodore A. Jackson, M.D.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Plastic Surgery
- Credential
- M.D.
- Enumeration Date
- Aug 31, 2005
- Last Updated
- Mar 12, 2009
Practice Location
- Address
- 1306 KANAWHA BLVD E
- Address 2
- SUITE 100
- City
- Charleston
- State
- West Virginia
- ZIP Code
- 25301-3001
- Phone
- (304) 342-1113
Specialties & Taxonomy Codes
| Specialty |
|---|
| Plastic Surgery |
| Plastic Surgery - Surgery of the Hand — Surgery of the Hand |
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