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1225091408
STALEY THOMAS JACKSON
LUMBERTON, NC
NPI
1225091408
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207X00000X Orthopaedic Surgery
(Licence: NC 38362)
Enumeration Date
2006-04-10
Last Update Date
2020-11-03
Business Address
STALEY THOMAS JACKSON M.D.
2934 N ELM ST STE B1
LUMBERTON, NC 28358-2986
Phone number: 910-272-1175
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Mailing Address
STALEY THOMAS JACKSON M.D.
2002 N CEDAR ST STE B
LUMBERTON, NC 28358-3926
Phone number: 910-272-3048
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