Individual
STEPHEN DANIEL JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1234 HUFFMAN MILL ROAD, BURLINGTON, NC 27215-8700
(336) 538-1234
(336) 584-6811
Mailing address
1234 HUFFMAN MILL ROAD, BURLINGTON, NC 27215-8700
(336) 538-1234
(336) 584-6811
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
2012-00952
NC
Other
Enumeration date
06/02/2008
Last updated
07/12/2023
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