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Leroy Thomas Jackson, MD
Endocrinology, Diabetes & Metabolism Physician in Chesapeake, Virginia
NPI 1477633980

Leroy Thomas Jackson is a Endocrinology, Diabetes & Metabolism Physician based in Chesapeake, VA and is specialized in Endocrinology, Diabetes & Metabolism. Leroy Thomas Jackson practices in Chesapeake, VA and has the professional credentials of MD. The NPI Number for Leroy Thomas Jackson is 1477633980 and holds a License No. 4301406300 (Virginia).

The current practice location address for Leroy Thomas Jackson is 3205 Churchland Blvd, Chesapeake, VA and can be reached out via phone at 757-484-7822 and via fax at 757-484-7362.

Location: 3205 Churchland Blvd, Chesapeake, VA, 23321-5205
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1477633980
Provider Name
Leroy Thomas Jackson
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
3205 Churchland Blvd, Chesapeake, VA, 23321-5205
Phone Number
757-484-7822
Fax Number
757-484-7362
Provider Enumeration Date
10/17/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
BLUE CROSS 01 AL 51109153
1477633980 01 AL NPI
institution
Provider Business Practice Location Address Details
Address
3205 Churchland Blvd
City
Chesapeake
State
Virginia
Zip
23321-5205
Phone Number
757-484-7822
Fax Number
757-484-7362
person
Provider Business Mailing Address Details
Address
3205 Churchland Blvd
City
Chesapeake
State
Virginia
Zip
23321-5205
Phone Number
757-484-7822
Fax Number
757-484-7362
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Endocrinology, Diabetes & Metabolism
Taxonomy
207RE0101X
License No.
4301406300 (Michigan)
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
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