Individual
CASEY GORDON JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4095 AMERICAN WAY, MEMPHIS, TN 38118-8339
(901) 515-5000
(901) 375-0982
Mailing address
877 JEFFERSON AVE, 5TH FLOOR ADAMS PAVILION, MEMPHIS, TN 38103-2807
(901) 515-4529
(901) 515-4599
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
41430
TN
Other
Enumeration date
08/03/2006
Last updated
07/08/2007
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