ANTHONY W JACKSON

ELIZABETH CITY, NC
NPI1700987062
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Y00000X Otolaryngology
(Licence: NC  2007-00605)
Enumeration Date2006-09-26
Last Update Date2011-01-07
Business Address
-- ANTHONY W JACKSON MD
105 MEDICAL DR
ELIZABETH CITY, NC 27909-3361
Phone number: 252-337-7409
Mailing Address
-- ANTHONY W JACKSON MD
105 MEDICAL DR
ELIZABETH CITY, NC 27909-3361
Phone number: 252-337-7409
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