Individual
SPENCER JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1514 JEFFERON HIGHWAY, NEW ORELANS, LA 70121
(252) 560-1214
Mailing address
4315 SHARON CHURCH RD, KINSTON, NC 28501-7192
(252) 560-1214
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/14/2021
Last updated
05/14/2021
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