JAMES B SHACKSON

COLUMBUS, OH
NPI1831185545
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: OH  35-062208)
Additional Taxonomies2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: KY  C1406)
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: TN  67932)
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: MI  EMC0005754)
Enumeration Date2005-09-27
Last Update Date2024-10-18
Business Address
JAMES B SHACKSON M.D.
4400 EASTON CMNS STE 125
COLUMBUS, OH 43219-6223
Phone number: 574-546-1900
Mailing Address
JAMES B SHACKSON M.D.
PO BOX 11167
FORT WAYNE, IN 46856-1167
Phone number: 574-546-1900