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Individual
DR. MARK R JACKSON
Active
Individual
DR. MARK R JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
23559
SC
2086S0129X
Vascular Surgery Physician
Primary
23559
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89067KH
—
NC
05
—
T78966
—
SC
Enumeration date
05/03/2006
Last updated
11/06/2020
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