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Contact Information

JOHN O JACKSON JR, MD
1323 EAST WOOD STREET
EAST WOOD CLINIC
PARIS, TN38242
 Phone: 731-642-2011
 Fax: 731-644-2758
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for JOHN O JACKSON JR · (Male)

NPI Number 1386676534
Status Active
Credentials MD
Entity Individual
Enumeration date 07/07/2006
Last updated 02/12/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • TN License # MD14033
  • TN Medicaid 3000296
Hospital affiliation(s) Not Available
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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