Individual
DR. BENJAMIN POPP JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
34 N KANAWHA ST, BUCKHANNON, WV 26201-2714
(304) 473-2250
(304) 472-1208
Mailing address
34 N KANAWHA ST, BUCKHANNON, WV 26201-2714
(304) 473-2250
(304) 472-1208
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
30171
WV
Other
Enumeration date
04/18/2017
Last updated
09/07/2022
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