person
Freeman Randolph Jackson, MD
Diagnostic Radiology Physician in Greensboro, North Carolina
NPI 1235112178

Freeman Randolph Jackson is a Diagnostic Radiology Physician based in Greensboro, NC and is specialized in Diagnostic Radiology. Freeman Randolph Jackson practices in Greensboro, NC and has the professional credentials of MD. The NPI Number for Freeman Randolph Jackson is 1235112178 and holds a License No. 22747 (North Carolina).

The current practice location address for Freeman Randolph Jackson is 1331 N Elm St, Greensboro, NC and can be reached out via phone at 336-274-9617 and via fax at 336-482-2177.

Location: 1331 N Elm St, Greensboro, NC, 27401-6302
person
Provider Profile Details
NPI Number
1235112178
Provider Name
Freeman Randolph Jackson
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1331 N Elm St, Greensboro, NC, 27401-6302
Phone Number
336-274-9617
Fax Number
336-482-2177
Provider Enumeration Date
11/23/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1600271 01 NC UNITED HEALTHCARE
23519 01 NC PARTNERS
45552 01 NC BLUE CROSS BLUE SHIELD
300085677 01 NC RAILROAD MEDICARE
8945552 05 NC
73479 01 NC MEDCOST
institution
Provider Business Practice Location Address Details
Address
1331 N Elm St
City
State
Zip
27401-6302
Phone Number
336-274-9617
Fax Number
336-482-2177
person
Provider Business Mailing Address Details
Address
1331 N Elm St
City
State
Zip
27401-6302
Phone Number
336-274-9617
Fax Number
336-482-2177
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
License No.
22747 (North Carolina)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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