Search › Indiana › 174400000X
Thomas Jackson, M.D
NPI 1154308997 · on the registry since 2005 · sole proprietor
Practice
- Address
- 2450 N Park Dr
Columbus, IN 47203 - Phone
- (812) 376-8997
- Fax
- (812) 373-5323
- Organisation at this address
- Physician Practice Organization,
Southern Indiana Aesthetic And Plastic Surgery LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 174400000X
174400000X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2010-08-02
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana