RICHARD G JACKSON

DANVILLE, KY
NPI1023080025
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology
(Licence: KY  18160)
Enumeration Date2006-02-03
Last Update Date2008-02-21
Business Address
Dr. RICHARD G JACKSON M.D,
217 S 3RD ST
DANVILLE, KY 40422-1823
Phone number: 859-239-2220
Mailing Address
Dr. RICHARD G JACKSON M.D,
PO BOX 30309
CHARLESTON, SC 29417-0309
Phone number: 843-284-3400