Individual
DR. GEORGE HAGAN JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5231 HICKORY PARK DR, SUITE D, GLEN ALLEN, VA 23059-2619
(804) 588-6993
Mailing address
P.O. BOX 4319, GLEN ALLEN, VA 23058-4319
(804) 588-6993
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
0101238219
VA
Other
Enumeration date
03/05/2013
Last updated
11/05/2013
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