CHARLES LEE JACKSON

CHATTANOOGA, TN
NPI1942263793
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208800000X Urology
(Licence: TN  41776)
Additional Taxonomies208800000X Urology
(Licence: FL  ME0053658)
Enumeration Date2006-04-11
Last Update Date2010-06-04
Business Address
-- CHARLES LEE JACKSON MD
725 GLENWOOD DR STE E790
CHATTANOOGA, TN 37404-1178
Phone number: 423-495-3068
Mailing Address
-- CHARLES LEE JACKSON MD
725 GLENWOOD DR STE E790
CHATTANOOGA, TN 37404-1178
Phone number: 423-495-3068
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