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Matthan Jackson, DO
Family Medicine Physician in Bridgeport, West Virginia
NPI 1194170571

Matthan Jackson is a Family Medicine Physician based in Bridgeport, WV. Matthan Jackson practices in Bridgeport, WV and has the professional credentials of DO. The NPI Number for Matthan Jackson is 1194170571 and holds a License No. (West Virginia).

The current practice location address for Matthan Jackson is 527 Medical Park Dr, Bridgeport, WV and can be reached out via phone at 681-342-3600 and via fax at 681-342-3625.

Location: 527 Medical Park Dr, Bridgeport, WV, 26330-9008
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1194170571
Provider Name
Matthan Jackson
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
527 Medical Park Dr, Bridgeport, WV, 26330-9008
Phone Number
681-342-3600
Fax Number
681-342-3625
Provider Enumeration Date
05/04/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
527 Medical Park Dr
City
Bridgeport
State
West Virginia
Zip
26330-9008
Phone Number
681-342-3600
Fax Number
681-342-3625
person
Provider Business Mailing Address Details
Address
527 Medical Park Dr
City
Bridgeport
State
West Virginia
Zip
26330-9008
Phone Number
681-342-3600
Fax Number
681-342-3625
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
3347 (West Virginia)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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