Individual
DR. MILTON SCHREINER JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
225 NATCHEZ TRACE AVE, BOWLING GREEN, KY 42103-7995
(270) 783-3753
Mailing address
150 W BEAR TRACK RD, CAMPBELLSVILLE, KY 42718-8709
(502) 339-8000
(502) 339-8501
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
28812
KY
207R00000X
Internal Medicine Physician
Primary
28812
KY
208M00000X
Hospitalist Physician
28812
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64288129
—
KY
Enumeration date
06/05/2006
Last updated
05/02/2023
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