Jackson, Cline Thomas

Jackson, Cline Thomas is an sole proprietor health care provider with primary practice located at 420 E 2Nd Ave Suite 103, Rome GA 30161-3209. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Jackson, Cline Thomas can be contacted via phone (706) 509-3278.

Contact Information

Primary practice address
420 E 2Nd Ave Suite 103 Rome GA 30161-3209
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 059246 Georgia

Profile Details

NPI number 1356562185
LBN Legal business name Jackson, Cline Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 1st, 2007
Last updated Mar 29th, 2010 - about 15 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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