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Russell Jackson, AT
NPI 1932622867 · on the registry since 2017
Practice
- Address
- 406 Sheridan Forest Rd
Goldsboro, NC 27534 - Phone
- (419) 215-8888
Registry record
- Primary taxonomy
- 2255A2300X
2255A2300X
- Licence states on file
- OH
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-08-03
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