Charles Andrew Jackson, M.D. Valid NPI

Individual provider · Family Medicine Physician · Marshall, AR

NPI

1720003247

Type

Individual (Type 1)

Primary specialty

Family Medicine Physician (Family Medicine)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207Q00000X

License number

E-0979 (AR)

Sex

Male

Sole proprietor

No

Enumerated

2006-07-13

Last updated

2021-03-18