Individual
DR. EMANUEL MASON JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 BREWSTER BLVD, CAMP LEJEUNE, NC 28547-2575
(910) 450-4840
Mailing address
5116 WESTERN BLVD APT 1020, JACKSONVILLE, NC 28546-0026
(803) 207-5803
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
2025-02424
NC
207P00000X
Emergency Medicine Physician
Primary
92122
SC
Other
Enumeration date
05/06/2021
Last updated
05/05/2026
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