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NPI Verification

National Provider Identifier: 1255444766

Timothy K Jackson, M. D.

Individual Provider

Credentials

M. D.

Primary Specialty

Internal Medicine, Endocrinology, Diabetes & Metabolism

Code: 207RE0101X

Practice Address

710 GENESIS BLVD

BRIDGEPORT, WV 263309668

Phone: 681-342-3070

NPI Enumeration Date

August 17, 2006

NPI Number

1255444766

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry