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Individual

DR. ELIZABETH MICHELE JACKSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
444 CLINCHFIELD ST, SUITE 2900, KINGSPORT, TN 37660-3606
(423) 245-6101
(423) 245-2396
Mailing address
3044 HIGHLAND GROVE DR, JOHNSON CITY, TN 37615-4596
(423) 483-0700

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
51246
TN

Other

Enumeration date
06/05/2009
Last updated
12/01/2014
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