Timothy Jackson, M. D

NPI 1255444766 · on the registry since 2006

Practice

Address: 710 Genesis Blvd
Bridgeport, WV 26330
Phone: (681) 342-3070
Organisation at this address: United Hospital Center
Premier Medical Group, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 4

Additional practice sites

1 Stadium Drive, Morgantown, WV

Registry record

Primary taxonomy: 207RE0101X
207RE0101X
Licence states on file: WV
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2022-04-06

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 West Virginia