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Tia Jackson

NPI 1316505811 · on the registry since 2019

Practice

Address
2510 Commons Blvd Ste 130
Beavercreek, OH 45431
Phone
(937) 558-3064
Organisation at this address
Oak Creek Obgyn
Alliance Physician Inc
Alliance Physician Inc
Alliance Physicians Inc
Pain Alternatives, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
49

Registry record

Primary taxonomy
133V00000X
133V00000X
Licence states on file
OH
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2019-05-31

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 Ohio