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Dr. Thomas L Jackson, MD
Specialist in Columbus, Indiana
NPI 1154308997

Thomas L Jackson is a Specialist based in Columbus, IN. Thomas L Jackson practices in Columbus, IN and has the professional credentials of MD. The NPI Number for Thomas L Jackson is 1154308997 and holds a License No. 01046379A (Indiana).

The current practice location address for Thomas L Jackson is 2450 N Park Dr, Columbus, IN and can be reached out via phone at 812-376-8997 and via fax at 812-373-5323.

Location: 2450 N Park Dr, Columbus, IN, 47203-2292
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Provider Profile Details
NPI Number
1154308997
Provider Name
Thomas L Jackson
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2450 N Park Dr, Columbus, IN, 47203-2292
Phone Number
812-376-8997
Fax Number
812-373-5323
Provider Enumeration Date
12/22/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
01046379A 01 IN STATE LICENSE NUMBER
200134430B 05 IN
institution
Provider Business Practice Location Address Details
Address
2450 N Park Dr
City
State
Zip
47203-2216
Phone Number
812-376-8997
Fax Number
812-373-5323
person
Provider Business Mailing Address Details
Address
2450 N Park Dr
City
State
Zip
47203-2216
Phone Number
812-376-8997
Fax Number
812-373-5323
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
01046379A (Indiana)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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