Individual
CARSWELL HOOTS JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2102 N ELM ST STE H1, GREENSBORO, NC 27408-5100
(336) 808-5135
(336) 808-5388
Mailing address
3625 N ELM ST, SUITE 110A, GREENSBORO, NC 27455-2604
(336) 282-4840
(336) 282-4660
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
38781
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010102405
—
VA
01
—
45521
BCBS
NC
05
—
8945521
—
NC
Enumeration date
05/17/2006
Last updated
08/22/2024
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