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Samuel Porter Jacks, MD
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Winston Salem, North Carolina
NPI 1184828030

Samuel Porter Jacks is a Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician based in Charlotte, NC. Samuel Porter Jacks practices in Winston Salem, NC and has the professional credentials of MD. The NPI Number for Samuel Porter Jacks is 1184828030 and holds a License No. 2015-01953 (North Carolina).

The current practice location address for Samuel Porter Jacks is 4622 Country Club Rd, Winston Salem, NC and can be reached out via phone at 336-768-9535 and via fax at 336-768-4155.

Location: 4622 Country Club Rd, Winston Salem, NC, 28260-0447
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1184828030
Provider Name
Samuel Porter Jacks
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
4622 Country Club Rd, Winston Salem, NC, 28260-0447
Phone Number
336-768-9535
Fax Number
336-768-4155
Provider Enumeration Date
06/13/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
005979900 05 FL
003125978A 05 GA
P01084809 01 FL RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
4622 Country Club Rd
City
Winston Salem
State
North Carolina
Zip
27104-3769
Phone Number
336-768-9535
Fax Number
336-768-4155
person
Provider Business Mailing Address Details
Address
4622 Country Club Rd
City
Winston Salem
State
North Carolina
Zip
27104-3769
Phone Number
336-768-9535
Fax Number
336-768-4155
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
-
Taxonomy
208600000X
License No.
2015-01953 (North Carolina)
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Speciality
-
Taxonomy
208G00000X
License No.
2015-01953 (North Carolina)
Definition
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
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