Individual
DR. MALAKA BAHARAH JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
201 QUEENS RD, CHARLOTTE, NC 28204-3217
(704) 316-5285
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 384-7834
Taxonomy
Speciality
Code
Description
License number
State
2080P0205X
Pediatric Endocrinology Physician
Primary
2017-01294
NC
Other
Enumeration date
07/03/2006
Last updated
10/26/2020
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