Whalio Doctors

NPI 1013131994

Freeman R Jackson, MD

Practitioner Anesthesiology Physician Greensboro, NC

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
Allopathic & Osteopathic Physicians Taxonomy 207L00000X Licence 2009-00104 (NC)
Student in an Organized Health Care Education/Training Program
Student, Health Care Taxonomy 390200000X

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.