THAD JACKSON

ELIZABETHTOWN, KY
NPI1134177108
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207T00000X Neurological Surgery
(Licence: KY  34151)
Enumeration Date2006-05-04
Last Update Date2012-05-25
Business Address
THAD JACKSON MD
1700 RING RD
ELIZABETHTOWN, KY 42701-9497
Phone number: 270-769-5551
Mailing Address
THAD JACKSON MD
1700 RING RD
ELIZABETHTOWN, KY 42701-9497
Phone number: 270-769-5551
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