Individual
DR. AARON HUGH JACKSON III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D
Contact information
Practice address
1186 MAIN STREET, LILLINGTON, NC 27546
(910) 814-0909
Mailing address
124 JARRETT BAY LANE, FUQUAY VARINA, NC 27526
(919) 639-2284
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
4583
NC
Other
Enumeration date
03/02/2007
Last updated
07/08/2007
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