NPI 1013131994
Freeman R Jackson, MD
Practice location
- Address
- 600 Green Valley Road Suite 304, Greensboro, NC 27408
- Phone
- (336) 282-4840
- Mailing address
- 600 Green Valley Road 304, Greensboro, NC 27408
Registered specialties (2)
Anesthesiology Physician
Primary
Student in an Organized Health Care Education/Training Program
Registry record
- NPI
- 1013131994
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 12 Apr 2007
- Record last updated
- 21 Nov 2011
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.