Travis Harold Jackson
Neurologist
145 Kimel Park Dr Suite 100
Winston-Salem
, North Carolina 27103-6983
Travis Harold Jackson
Neurologist
145 Kimel Park Dr Suite 100
Winston-Salem
, North Carolina 27103-6983
(336) 802-2534
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About
Features
Specialties
- Neurologist
Languages spoken
- English
Location
First Address
- Travis Harold Jackson
- 1701 Westchester Drive Suite 850
- High Point, NC
- Zip : 27262-7254
- Fax : (336) 802-2534
- Phone : (336) 802-2400
Second Address
- Travis Harold Jackson
- 145 Kimel Park Dr Suite 100
- Winston-Salem, NC
- Zip : 27103-6983
- Fax : (336) 760-9393
- Phone : (336) 768-6347
Reviews
FAQs
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What type of doctor is Travis Harold Jackson
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Is Travis Harold Jackson a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2084N0400X | Neurologist | 0000-20148 | NC |
National Provider Identifier
| NPI | 1043256126 |
|---|---|
| Provider Name | Travis Harold Jackson |
| First Address | High Point, NC 27262-7254 |
| Second Address | Winston-Salem, NC 27103-6983 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/06/2006 |
| Last Update Date | 04/03/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 8945571 | (05) | NC |
| C84690 | (02) | NC |
| P00288396 | RAILROAD MEDICARE (01) | NC |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.