Long, Jackson

Long, Jackson is an individual health care provider with primary practice located at 8560 Cook St , Mt Pleasant NC 28124-7686. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Long, Jackson can be contacted via phone (704) 436-6521.

Contact Information

Primary practice address
8560 Cook St Mt Pleasant NC 28124-7686
Phone: (704) 436-6521
Fax: (704) 436-9505
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 210563 North Carolina

Profile Details

NPI number 1487032827
LBN Legal business name Long, Jackson
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2015
Last updated Mar 11th, 2021 - about 5 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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