STEPHEN WILLIAM JACKSON

TENN VALLEY UROLOGY CENTE

Dr STEPHEN WILLIAM JACKSON is a male medical professional, specializing in Urology. He graduated in 1984 from University Of Tennessee College Of Medicine.

Contact

TENN VALLEY UROLOGY CENTE

400 BERYWOOD NWTRL B
CLEVELAND
TN
373125288

Tel: 4234723201

STEPHEN WILLIAM JACKSON Information

Npi 1386609808
Pac Id 5799801700
Professional Enrollment Id I20100928001470
Last Name JACKSON
First Name STEPHEN
Middle Name WILLIAM
Suffix
Gender M
Credential
Medical School Name UNIVERSITY OF TENNESSEE COLLEGE OF MEDICINE
Graduation Year 1984
Primary Specialty UROLOGY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name TENN VALLEY UROLOGY CENTE
Group Practice Pac Id 2062538077
Number Of Group Practice Members 5
Line 1 Street Address 400 BERYWOOD NWTRL B
Line 2 Street Address
Marker Of Address Line 2 Suppression
City CLEVELAND
State TN
Zip Code 373125288
Phone Number 4234723201
Hospital Affiliation Ccn 1 440185
Hospital Affiliation Lbn 1 TENNOVA HEALTH CARE-CLEVELAND
Hospital Affiliation Ccn 2 440068
Hospital Affiliation Lbn 2 STARR REGIONAL MEDICAL CENTER ATHENS
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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