Individual
ROBERT ERIC JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
374 BRINK ST, LAWRENCEBURG, TN 38464-3280
(931) 762-6548
Mailing address
2717 E OAKLAND AVE, JOHNSON CITY, TN 37601-1843
(239) 262-3584
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
50448
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
362126638A
—
GA
Enumeration date
10/26/2006
Last updated
08/14/2025
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