Organization
JACKSON HM SERVICES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE WHITMAN DO (PRESIDENT)
(800) 893-9698
Entity
Organization
Contact information
Practice address
68 HOSPITAL RD, SYLVA, NC 28779-2722
(828) 586-7000
Mailing address
200 CORPORATE BLVD, LAFAYETTE, LA 70508-3870
(800) 893-9698
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1386186120
—
NC
01
—
G405
MEDICARE OF NORTH CAROLINA
NC
Enumeration date
11/10/2016
Last updated
05/06/2021
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