Whalio Doctors

NPI 1437798261

Jorge Jackson, LATATC

Practitioner Sports Medicine (Orthopaedic Surgery) Physician Owensboro, KY

Practice location

Address
2831 New Hartford Rd, Owensboro, KY 42303
Phone
(270) 926-4100
Mailing address
2831 New Hartford Rd., Owensboro, KY 42303

Registered specialties

Sports Medicine (Orthopaedic Surgery) Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207XX0005X Licence 2000034178 (KY)

Registry record

NPI
1437798261
Entity type
Individual
Sex (as registered)
Male
NPI issued
26 Dec 2019
Record last updated
26 Dec 2019

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.