Individual
MARK W JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1819 W CLINCH AVE, SUITE 212, KNOXVILLE, TN 37916-2434
(865) 523-6418
(865) 523-6587
Mailing address
1819 W CLINCH AVE, SUITE 212, KNOXVILLE, TN 37916-2434
(865) 523-6418
(865) 523-6587
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
MD28432
TN
Other
Enumeration date
01/25/2006
Last updated
02/03/2012
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