Individual
ROBERT IAN JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1600 MEDICAL CENTER DR, HUNTINGTON, WV 25701-3656
(304) 691-1824
Mailing address
1600 MEDICAL CENTER DR, HUNTINGTON, WV 25701-3656
(304) 691-1824
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35.152429
OH
208D00000X
General Practice Physician
32968
WV
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/10/2022
Last updated
06/04/2025
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