Jackson, Tommie S.

Jackson, Tommie S. is an individual health care provider with primary practice located at 453 W End Blvd , Winston Salem NC 27101-1120. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Jackson, Tommie S. can be contacted via phone (336) 750-0130.

Contact Information

Primary practice address

453 W End Blvd Winston Salem NC 27101-1120

Phone: (336) 750-0130

Fax: (336) 750-0073

Website:

Map and Directions

Health care specialties

Specialty	Code	License #	State
Behavioral Health & Social Service Providers / Professional	101YP2500X	925	North Carolina

Profile Details

NPI number	1093754673
LBN Legal business name	Jackson, Tommie S.
Credentials
Entity	Individual
Sole proprietor ¹	No
Enumeration date	Jun 6th, 2006
Last updated	Jul 8th, 2009 - about 17 years ago

¹ A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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