Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SAMUEL PORTER JACKS, MD
ActiveSAMUEL PORTER JACKS, MD is a Thoracic Surgery (Cardiothoracic Vascular) healthcare provider located in WINSTON SALEM, North Carolina. NPI 1184828030 is currently active in the NPPES registry. Verify at CMS.
Thoracic Surgery (Cardiothoracic Vascular) · WINSTON SALEM, NC
Registration Details
- NPI Number
- 1184828030
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 13, 2007 (19.132955498266 yrs)
- Last Updated
- Oct 25, 2020
- Licenses
-
2015-01953 (NC)2015-01953 (NC)
Practice Information
- Address
-
4622 COUNTRY CLUB RDSUITE 180WINSTON SALEM, NC, 271043769Browse NC providers · Browse ZIP 27104
- Phone
- 3367689535
- Fax
- 3367684155
- Primary Specialty
-
Thoracic Surgery (Cardiothoracic Vascular)
208G00000X
- Additional Specialty
- Thoracic Surgery (Cardiothoracic Vascular)
Other Thoracic Surgery (Cardiothoracic Vascular) Providers in WINSTON SALEM, NC
| Name | Credential | NPI |
|---|---|---|
| EDWARD HAL KINCAID | MD | 1285617985 |
| NEAL DAVID KON | MD | 1992788699 |
| DR. BRUCE DOUGLAS WALLEY | MD | 1891771879 |
| DR. JOEL CLARENCE MORGAN | MD | 1104802164 |
| DR. LEONARD JAMES WUDEL | M.D. | 1467495259 |
| DR. ADRIAN L LATA | MD | 1255514188 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.