Individual provider · Type 1 NPI
Thomas L. Jackson, MD
Specialist · Columbus, IN
NPI number
1154308997
Active
Practice location
2450 N Park Dr
Columbus, IN 47203-2216
Fax (812) 373-5323
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 01046379A (IN) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1154308997
Thomas L. Jackson, MD's National Provider Identifier is 1154308997, issued on Dec 22, 2005. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Columbus, IN. The record was last updated on Aug 2, 2010.