Search › West Virginia › Plastic Surgery Physician
Theodore Jackson, M.D
NPI 1942294376 · on the registry since 2005
Practice
- Address
- 1306 Kanawha Blvd E
Suite 100
Charleston, WV 25301 - Phone
- (304) 342-1113
- Fax
- (304) 346-2271
- Organisation at this address
- Hans Lee Md Inc
In Focus Optical
Envision Optical Llc
Mountaineer Radiologists Inc
Eye & Ear Clinic Physicians IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 20
Registry record
- Primary taxonomy
- Plastic Surgery Physician
208200000X
- Also registered as
- Surgery of the Hand (Plastic Surgery) Physician
- Licence states on file
- WV
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2009-03-12
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 West Virginia