Individual
PRESTON REID JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RD
Contact information
Practice address
526 FALLING LEAF TRL, SYLVA, NC 28779-9726
(910) 214-0032
Mailing address
526 FALLING LEAF TRL, SYLVA, NC 28779-9726
(910) 214-0032
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
L005756
NC
Other
Enumeration date
05/16/2019
Last updated
04/03/2025
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