Whalio Doctors

NPI 1023080025

Richard G Jackson, MD

Practitioner Anatomic Pathology & Clinical Pathology Physician Danville, KY

Practice location

Address
217 S 3rd St, Danville, KY 40422-1823
Phone
(859) 239-2220
Fax
(859) 239-6732
Mailing address
PO Box 30309, Charleston, SC 29417-0309

Registered specialties

Anatomic Pathology & Clinical Pathology Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207ZP0102X Licence 18160 (KY)

Registry record

NPI
1023080025
Entity type
Individual
Sex (as registered)
Male
NPI issued
3 Feb 2006
Record last updated
21 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.