Individual
PAUL DENNIS JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2065 21ST ST SE APT O, HICKORY, NC 28602-3479
(828) 328-3431
(828) 328-3431
Mailing address
2065 21ST ST. SE, APT. O, HICKORY, NC 28602-3479
(828) 328-3431
(828) 328-3431
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
08569
MS
2084P0800X
Psychiatry Physician
Primary
—
NC
Other
Enumeration date
10/25/2005
Last updated
07/08/2007
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