Individual
CHRISTOPHER JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
171 KEMPSVILLE RD STE 201, NORFOLK, VA 23502-4700
(757) 668-6550
Mailing address
700 CHILDRENS DR, COLUMBUS, OH 43205-2664
(614) 722-2000
Taxonomy
Speciality
Code
Description
License number
State
207XP3100X
Pediatric Orthopaedic Surgery Physician
Primary
0101281947
VA
207XP3100X
Pediatric Orthopaedic Surgery Physician
35.142188
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0499026
—
OH
Enumeration date
04/04/2016
Last updated
06/21/2024
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