Individual
JACKSON BAKER EBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1225 HARDING PL STE 3100, CHARLOTTE, NC 28204-2826
(704) 355-8686
(704) 355-8687
Mailing address
3220 COWDEN AVE, MEMPHIS, TN 38111-3406
(901) 832-1113
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/24/2023
Last updated
04/24/2023
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