Whalio Doctors

NPI 1033177530

Mark R Jackson, MD

Practitioner Vascular Surgery Physician Greenville, SC

Practice location

Address
3 Saint Francis Dr Suite 330, Greenville, SC 29601-3971
Phone
(864) 255-1834
Fax
(864) 255-1836

Registered specialties (2)

Vascular Surgery Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 2086S0129X Licence 23559 (SC)
Diagnostic Radiology Physician
Allopathic & Osteopathic Physicians Taxonomy 2085R0202X Licence 23559 (SC)

Registry record

NPI
1033177530
Entity type
Individual
Sex (as registered)
Male
NPI issued
3 May 2006
Record last updated
6 Nov 2020

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.