Individual provider · Type 1 NPI

Sidney Boggess Jackson, MD

Family Medicine Physician · Clarksburg, WV

NPI number 1285603969 Active

Practice location

1 Medical Center Drive, Louis A Johnson Va Health Care System
Clarksburg, WV 26301

Call (304) 623-3461 Map

Fax (304) 626-7034

Mailing address

278 Ridgeway Dr
Bridgeport, WV 26330-1152

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000X11573 (WV)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1285603969

Sidney Boggess Jackson, MD's National Provider Identifier is 1285603969, issued on Mar 16, 2006. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Clarksburg, WV. The record was last updated on Apr 16, 2012.