Individual
DR. MATTHEW RICHARD JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
50 E HOSPITAL ST, MANNING, SC 29102-3149
(803) 435-8828
Mailing address
607 BEAMAN ST, CLINTON, NC 28328-2603
(910) 592-8511
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2025-01455
NC
207Q00000X
Family Medicine Physician
LL87625
SC
Other
Enumeration date
03/23/2022
Last updated
07/07/2025
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