Search › North Carolina › 101YA0400X
John Jackson
NPI 1801439799 · on the registry since 2019 · sole proprietor
Practice
- Address
- 209 Martin Luther King Dr
Elizabethtown, NC 28337 - Phone
- (910) 247-6822
- Fax
- (910) 247-6829
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Licence states on file
- NC
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-10-23
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 North Carolina