Individual
CORY DANIEL JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1415 PHYSICIANS DR, WILMINGTON, NC 28401-7338
(518) 859-5714
Mailing address
1415 PHYSICIANS DR, WILMINGTON, NC 28401-7338
(518) 859-5714
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
321188
NC
Other
Enumeration date
05/09/2018
Last updated
08/06/2025
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