Individual
MEG ADAIR JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3200 MACCORKLE AVE S. E., CHARLESTON, WV 25304
(304) 388-9556
Mailing address
3200 MACCORKLE AVE S. E., CHARLESTON, WV 25304
(304) 388-9556
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
33009
WV
Other
Enumeration date
12/11/2008
Last updated
12/11/2008
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