Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KENNETH G JACKSON JR., MD
ActiveKENNETH G JACKSON JR., MD is a Family Medicine healthcare provider located in CLEMSON, South Carolina. NPI 1801183710 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · CLEMSON, SC
Registration Details
- NPI Number
- 1801183710
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 30, 2011 (15.113505445989 yrs)
- Last Updated
- Dec 1, 2022
- License
-
LL33560 (SC)
Practice Information
- Address
-
885 TIGER BLVDCLEMSON, SC, 296311480Browse SC providers · Browse ZIP 29631
- Phone
- 8646542067
- Fax
- 8646535926
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in CLEMSON, SC
| Name | Credential | NPI |
|---|---|---|
| AMIE MICHELLE JAKUBIAK | D.O. | 1891779385 |
| SHARI M TONKS | MD | 1720066053 |
| DR. AIMEE CHRISTINA DUFFY | M.D. | 1528033081 |
| KATHRYN D BARDEN | MD | 1457329021 |
| THOMAS ARTHUR MALONE | MD | 1427018159 |
| RENEE A. MONAGHAN | M.D. | 1255393070 |
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.