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Search › North Carolina › 207X00000X

Staley Jackson, M.D

NPI 1225091408 · on the registry since 2006

Practice

Address
2934 N Elm St Ste B1
Lumberton, NC 28358
Phone
(910) 272-1175
Fax
(910) 272-1176
Organisation at this address
Southeastern Regional Medical Center
Southeastern Regional Physician Services
Southeastern Regional Physician Services
Southeastern Regional Physician Services
Southeastern Regional Physician Services
Inferred from a shared address, not stated in the registry.
Clinicians at this address
19

Additional practice sites

  • 500 W 27th St, Lumberton, NC

Registry record

Primary taxonomy
207X00000X
207X00000X
Licence states on file
NC
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-11-03

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 North Carolina