JORGE JACKSON LAT ATC
Individual Provider (NPI-1)
Active
Orthopaedic Surgery, Sports Medicine
Provider Information
- NPI Number
1437798261- Provider Type
- Individual Provider (NPI-1)
- Credentials
- LAT ATC
- Status
- Active
Contact & Location
- Address
- 2831 NEW HARTFORD RD, OWENSBORO, KY, 42303
- Phone
- (270) 926-4100
Specialties & Taxonomies
Orthopaedic Surgery, Sports Medicine
Primary License: KY #2000034178