Individual provider · Type 1 NPI

Samuel Porter Jacks, MD

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician · Winston Salem, NC

NPI number 1184828030 Active

Practice location

4622 Country Club Rd, Suite 180
Winston Salem, NC 27104-3769

Call (336) 768-9535 Map

Fax (336) 768-4155

Mailing address

PO Box 60447
Charlotte, NC 28260-0447

Specialties and licenses

TaxonomyCodeLicense
Surgery Physician 208600000X2015-01953 (NC)
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Primary 208G00000X2015-01953 (NC)

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician: A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of th…

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About NPI 1184828030

Samuel Porter Jacks, MD's National Provider Identifier is 1184828030, issued on Jun 13, 2007. The primary taxonomy on file is Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician (208G00000X), and the practice location is in Winston Salem, NC. The record was last updated on Oct 25, 2020.