JACKSON LANCE RANKIN

WINSTON SALEM, NC
NPI1124878301
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2024-03-22
Last Update Date2024-03-22
Business Address
JACKSON LANCE RANKIN MD
1 MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157-0001
Phone number: 336-716-2011
Mailing Address
JACKSON LANCE RANKIN MD
1654 OVERBROOK RD APT B10
RICHMOND, VA 23220-1362
Phone number: 540-230-9232