SearchNorth Carolina376J00000X

Brandon Jackson

NPI 1275046153 · on the registry since 2017 · sole proprietor

Practice

Address
400 Brunswick St
Mooresville, NC 28115
Phone
(704) 977-1412

Registry record

Primary taxonomy
376J00000X
376J00000X
Also registered as
374U00000X
Sex
Male
Record last updated
2017-11-14

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