Organization
ALAN F JACKS, MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALAN F. JACKS M.D. (PRESIDENT)
(828) 874-0555
Entity
Organization
Contact information
Practice address
845 MALCOLM BLVD, RUTHERFORD COLLEGE, NC 28671-0476
(828) 874-0555
(828) 874-2111
Mailing address
PO BOX 476, RUTHERFORD COLLEGE, NC 28671-0476
(828) 874-0555
(828) 874-2111
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
96-01640
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1013E
BCBS
NC
05
—
5909135
—
NC
05
—
891013E
—
NC
01
—
96-01640
NC LICENSE
NC
Enumeration date
07/20/2005
Last updated
09/08/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us