Organization Name: | R. BRUCE JACKSON II, M.D., P.A. |
NPI Number: | 1619064573 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ROBERT BRUCE JACKSON (DOCTOR) |
Mailing Address: | 222 Longvue Dr Boone |
State: | NC US |
Postal Code: | 286075060 |
Phone Number: | 8282629696 |
Fax Number: | 8282652306 |
NPI Enumeration Date: | 10/10/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207V00000X |
License Number: | 24975 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | |
Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |