Individual
DR. NATHAN OSCAR JACKSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
355C S MADISON BLVD, ROXBORO, NC 27573-5464
(336) 599-8366
(336) 599-8366
Mailing address
216 CHATEAU PL, CHAPEL HILL, NC 27516-8767
(919) 968-6339
(336) 599-8366
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
39955
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8945696
—
NC
Enumeration date
06/15/2006
Last updated
07/08/2007
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