Individual
EMME CHAPMAN JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12502 WILLOWBROOK RD STE 450, CUMBERLAND, MD 21502-6593
(240) 964-8931
(240) 964-8932
Mailing address
PO BOX 1671, CUMBERLAND, MD 21501-1671
(240) 964-8342
(240) 964-8337
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
D78067
MD
208600000X
Surgery Physician
AS22959041519
WV
208600000X
Surgery Physician
D78067
MD
Other
Enumeration date
07/02/2007
Last updated
01/25/2024
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