NPI 1033177530
Mark R Jackson, MD
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
Diagnostic Radiology Physician
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.