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NPI Verification

National Provider Identifier: 1477633980

Leroy Thomas Jackson, M.d.

Individual Provider

Credentials

M.D.

Primary Specialty

Internal Medicine, Endocrinology, Diabetes & Metabolism

Code: 207RE0101X

Practice Address

3205 CHURCHLAND BLVD

CHESAPEAKE, VA 233215205

Phone: 757-484-7822

NPI Enumeration Date

October 17, 2006

NPI Number

1477633980

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