MATTHAN JACKSON DO
Individual Provider (NPI-1)
Active
Family Medicine
Provider Information
- NPI Number
1194170571- Provider Type
- Individual Provider (NPI-1)
- Credentials
- DO
- Status
- Active
Contact & Location
- Address
- 240 ALLEGHENY HWY, ELKINS, WV, 262415749
- Phone
- (304) 636-0133
Specialties & Taxonomies
Family Medicine
Primary License: WV #3347
Student in an Organized Health Care Education/Training Program