THERESA G JACKSON

PORTSMOUTH, VA
NPI1245239227
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy208100000X Physical Medicine & Rehabilitation
(Licence: VA  0101050002)
Additional Taxonomies207Q00000X Family Medicine
(Licence: VA  0101050002)
Enumeration Date2005-07-20
Last Update Date2013-07-10
Business Address
-- THERESA G JACKSON MD
3640 HIGH ST SUITE 2A
PORTSMOUTH, VA 23707-3213
Phone number: 757-397-6930
Mailing Address
-- THERESA G JACKSON MD
3640 HIGH ST SUITE 2A
PORTSMOUTH, VA 23707-3213
Phone number: 757-397-6930