JOHNNA MICHELLE JACKSON

SOUTH CHARLESTON, WV
NPI1255537999
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy208600000X Surgery
(Licence: WV  1998)
Enumeration Date2007-06-21
Last Update Date2021-12-23
Business Address
JOHNNA MICHELLE JACKSON D.O.
500 POPLAR ST SUITE 304
SOUTH CHARLESTON, WV 25309-1474
Phone number: 304-767-7770
Mailing Address
JOHNNA MICHELLE JACKSON D.O.
4605 MACCORKLE AVE SW THS PHYSICIAN PARTNERS, INC-ADMIN OFFICE
SOUTH CHARLESTON, WV 25309-1311
Phone number: 304-414-4800
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