Individual
DR. THOMAS ROSS JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
300 W HOSPITAL ROAD, INTERNAL MEDICINE CLINIC, FT GORDON, GA 30905-5650
(706) 787-2300
(706) 787-8176
Mailing address
300 W HOSPITAL ROAD, INTERNAL MEDICINE CLINIC, FT GORDON, GA 30905-5650
(706) 787-2300
(706) 787-8176
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
SC15297
SC
208000000X
Pediatrics Physician
SC15297
SC
Other
Enumeration date
12/14/2006
Last updated
10/03/2013
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