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Contact Information

WILLIAM C JACKSON, MD
76 CAPITAL WAY STE C
ATOKA, TN38004-6866
 Phone: 901-840-1202
 Fax: 901-840-1204
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hospice and Palliative Medicine

207QH0002X 08 Physician/Family Practice
 

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for WILLIAM C JACKSON · (Male)

NPI Number 1407858368
Status Active
Credentials MD
Entity Individual
Enumeration date 08/11/2005
Last updated 04/17/2026 - About 2 months ago
Sole proprietor 1 No
Identifiers
  • TN License # 31696
  • AR Medicaid 155538001
  • MS Medicaid 01751779
  • TN Medicaid 1508274
Hospital affiliation(s)
  • METHODIST HEALTHCARE MEMPHIS HOSPITALS - (Acute Care)
    1265 UNION AVE SUITE 700
    MEMPHIS, TN 38104
  • METHODIST HEALTHCARE MEMPHIS HOSPITALS - (Acute Care)
    1265 UNION AVE SUITE 700
    MEMPHIS, TN 38104
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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