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1457335416
DAVID STONE JACKSON
WINSTON SALEM, NC
NPI
1457335416
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: NC 18663)
Enumeration Date
2005-12-02
Last Update Date
2014-03-25
Business Address
-- DAVID STONE JACKSON MD
MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157-0001
Phone number: 336-716-2255
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Mailing Address
-- DAVID STONE JACKSON MD
PO BOX 344
WINSTON SALEM, NC 27102-0344
Phone number: 336-716-2255
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