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Individual

DR. ADAM JACKSON

Active
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Individual

DR. ADAM JACKSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
BMSCD, MBSC, CNIM

Taxonomy

Speciality
Code
Description
License number
State
173F00000X
Sleep Specialist (PhD)
Primary
—
NULL
204R00000X
Electrodiagnostic Medicine Physician
2045
IL
2084N0600X
Clinical Neurophysiology Physician
2045
TN

Other

Enumeration date
03/06/2017
Last updated
04/25/2020
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