William Grover Jackson
Internist Gastroenterologist
46 Toll Rd Unit B
Salisbury
, Massachusetts 01952-1435
William Grover Jackson
Internist Gastroenterologist
46 Toll Rd Unit B
Salisbury
, Massachusetts 01952-1435
(978) 462-0177
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About
Features
Specialties
- Internist
- Gastroenterologist
Languages spoken
- English
Location
First Address
- William Grover Jackson
- 46 Toll Rd Unit B
- Salisbury, MA
- Zip : 01952-1435
- Fax : (978) 462-0177
- Phone : (978) 462-3009
Second Address
- William Grover Jackson
- 46 Toll Rd Unit B
- Salisbury, MA
- Zip : 01952-1435
- Fax : (978) 462-0177
- Phone : (978) 462-3009
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207R00000X | Internist | 57551 | MA |
| N | 111NI0900X | Internist | 57551 | MA |
| Y | 207RG0100X | Gastroenterologist | 57551 | MA |
National Provider Identifier
| NPI | 1003843590 |
|---|---|
| Provider Name | William Grover Jackson |
| First Address | Salisbury, MA 01952-1435 |
| Second Address | Salisbury, MA 01952-1435 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/06/2006 |
| Last Update Date | 13/11/2014 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 3019152 | (05) | MA |
| A97537 | (02) |
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.