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Search › North Carolina › 207Q00000X

Woody Jackson, MD

NPI 1073587598 · on the registry since 2006

Practice

Address
2131 S 17th St
Wilmington, NC 28401
Phone
(910) 815-5830
Fax
(910) 815-5698
Organisation at this address
Ecep Ii Pa
Health Sciences Foundation Inc
Health Sciences Foundation Inc
Health Sciences Foundation, Inc
Coastal Childrens Services Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
561

Registry record

Primary taxonomy
207Q00000X
207Q00000X
Also registered as
207R00000X
Licence states on file
PA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2014-08-19

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