Individual
DR. CLINE THOMAS JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
420 E 2ND AVE, SUITE 103, ROME, GA 30161-3209
(706) 509-3278
Mailing address
420 E 2ND AVE, SUITE 103, ROME, GA 30161-3209
(706) 509-3278
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
059246
GA
Other
Enumeration date
05/01/2007
Last updated
03/29/2010
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