NPI 1386836252

Brian D. Jackson, DPM, LLC

Organisation Foot Surgery Podiatrist Columbia, TN

Practice location

Address: 1215 Hatcher Ln, Columbia, TN 38401-3531
Phone: (931) 380-0353

Authorised official

Name: Brian Douglas Jackson
Title: President
Phone: (931) 380-0353

Registered specialties

Foot Surgery Podiatrist Primary

Podiatric Medicine & Surgery Service Providers Taxonomy 213ES0131X Licence 436 (TN)

Other Podiatrist providers in Tennessee →

Registry record

NPI: 1386836252
Entity type: Organization
NPI issued: 15 Aug 2007
Record last updated: 6 Feb 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.