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Search › North Carolina › 1041C0700X

Charles Jackson

NPI 1003149048 · on the registry since 2009

Practice

Address
355 S Madison Blvd Ste C1
Roxboro, NC 27573
Phone
(336) 599-8366
Fax
(336) 322-6168
Organisation at this address
Triumph Llc
Triumph Llc
Triumph Llc
Triumph, Llc
County Of Person
Inferred from a shared address, not stated in the registry.
Clinicians at this address
18

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Also registered as
101YA0400X
Licence states on file
NC
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2015-09-06

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in North Carolina