Individual provider · Type 1 NPI

Michael Lee Jackson Jr., DO

Student in an Organized Health Care Education/Training Program · Spartanburg, SC

NPI number 1932958832 Active

Practice location

101 E Wood St
Spartanburg, SC 29303-3040

Call (864) 560-6285 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1932958832

Michael Lee Jackson Jr., DO's National Provider Identifier is 1932958832, issued on May 14, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Spartanburg, SC. The record was last updated on May 14, 2024.