Individual
DR. MARY MARGARET COOK JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1559 SPARTA ST, MCMINNVILLE, TN 37110-1316
(931) 815-4000
Mailing address
600 ELIZABETH ST, CORPUS CHRISTI, TX 78404-2235
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
4783
TN
207P00000X
Emergency Medicine Physician
T4337
TX
Other
Enumeration date
04/26/2019
Last updated
03/07/2025
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