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Stephen Jackson, M.D
NPI 1386609808 · on the registry since 2006
Practice
- Address
- 400 Berywood Trl Nw
Suite B
Cleveland, TN 37312 - Phone
- (423) 472-3201
- Fax
- (423) 476-4949
- Organisation at this address
- Tennessee Valley Urology Center Pc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 11
Registry record
- Primary taxonomy
- Urology Physician
208800000X
- Licence states on file
- TN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-10-23
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 Tennessee