SAMANTHA JACKSON

REIDSVILLE, NC
NPI1801191754
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: NC  0010-02724)
Enumeration Date2011-01-24
Last Update Date2013-08-08
Business Address
Mrs. SAMANTHA JACKSON PAC
1818 RICHARDSON DR
REIDSVILLE, NC 27320-5451
Phone number: 336-349-5040
Mailing Address
Mrs. SAMANTHA JACKSON PAC
1818 RICHARDSON DR
REIDSVILLE, NC 27320-5451
Phone number: 336-349-5040