Dr. Richard G Jackson Jr., M.D,
Pathology, Anatomic Pathology & Clinical Pathology in Danville, KY. Individual provider (NPI-1).
NPI number1023080025
StatusActive
Last updated in NPPESFeb 21, 2008
Details
- NPI
- 1023080025
- Entity type
- Individual (NPI-1)
- Name
- Dr. Richard G Jackson Jr.
- Credential
- M.D,
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 3, 2006
- Last updated
- Feb 21, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207ZP0102X | Pathology, Anatomic Pathology & Clinical Pathology | 18160 | KY | Yes |
Practice location
217 S 3rd StDanville, KY 40422-1823
Phone 859-239-2220 · Fax 859-239-6732
Mailing address
Po Box 30309Charleston, SC 29417-0309
Phone 843-284-3400 · Fax 843-284-3401
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