Organization
JACKSON MANAGEMENT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT LEE GIBSON III (EXECUTIVE DIRECTOR)
(919) 522-8635
Entity
Organization
Contact information
Practice address
1533 HAYWARDS HEATH LN, APEX, NC 27502-3620
(919) 931-2669
Mailing address
1533 HAYWARDS HEATH LN, APEX, NC 27502-3620
(919) 931-2669
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
—
—
Other
Enumeration date
03/26/2008
Last updated
03/26/2008
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