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1083479612
DOUGLAS JACKSON
CONCORD, NC
NPI
1083479612
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0001X Radiology Radiation Oncology
(Licence: FL ME166241)
Enumeration Date
2024-02-13
Last Update Date
2024-02-13
Business Address
DOUGLAS JACKSON MD
3983 LONG LEAF CT
CONCORD, NC 28025-9033
Phone number: 321-615-4850
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Mailing Address
DOUGLAS JACKSON MD
3983 LONG LEAF CT
CONCORD, NC 28025-9033
Phone number: 321-615-4850
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