Individual
DR. RAYMOND C JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
PATTIE A CLAY REGIONAL MEDICAL CENTER, EASTERN BYPASS, RICHMOND, KY 40476-2603
(859) 335-9041
(859) 335-9072
Mailing address
415 RIVA RIDGE RD, RICHMOND, KY 40475-8652
(859) 624-0355
(707) 924-0355
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
17436
KY
Other
Enumeration date
09/06/2006
Last updated
07/10/2007
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