-- THAD JACKSON -- MD
Individual Provider (NPI-1)
Active
Neurological Surgery
Provider Information
- NPI Number
1134177108- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MD
- Status
- Active
Contact & Location
- Address
- 1700 RING RD, ELIZABETHTOWN, KY, 427019497
- Phone
- (270) 769-5551
Specialties & Taxonomies
Neurological Surgery
Primary License: KY #34151