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1386870285
ELIZABETH MICHELE JACKSON
KINGSPORT, TN
NPI
1386870285
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
208600000X Surgery
(Licence: TN 51246)
Enumeration Date
2009-06-05
Last Update Date
2014-12-01
Business Address
Dr. ELIZABETH MICHELE JACKSON M.D.
444 CLINCHFIELD ST SUITE 2900
KINGSPORT, TN 37660-3606
Phone number: 423-245-6101
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Mailing Address
Dr. ELIZABETH MICHELE JACKSON M.D.
3044 HIGHLAND GROVE DR
JOHNSON CITY, TN 37615-4596
Phone number: 423-483-0700
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