Organization
R. BRUCE JACKSON II, M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT BRUCE JACKSON I M.D. (DOCTOR)
(828) 262-9696
Entity
Organization
Contact information
Practice address
222 LONGVUE DR, BOONE, NC 28607-5060
(828) 262-9696
(828) 265-2306
Mailing address
222 LONGVUE DR, BOONE, NC 28607-5060
(828) 262-9696
(828) 265-2306
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
24975
NC
Other
Enumeration date
10/10/2006
Last updated
08/22/2020
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