Tameka Peta-Gay Jackson, D.O.
Neurological Surgery in Clinton Township, MI. Individual provider (NPI-1).
NPI number1265755490
StatusActive
Last updated in NPPESMar 2, 2010
Details
- NPI
- 1265755490
- Entity type
- Individual (NPI-1)
- Name
- Tameka Peta-Gay Jackson
- Credential
- D.O.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 2, 2010
- Last updated
- Mar 2, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207T00000X | Neurological Surgery | 5101018465 | MI | Yes |
Practice location
15855 19 Mile RdClinton Township, MI 48038-3504
Phone 586-263-2950
Mailing address
15855 19 Mile RdClinton Township, MI 48038-3504
Phone 586-263-2950
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