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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. GARLAND CONWAY JACKSON JR., M.D.

Active

DR. GARLAND CONWAY JACKSON JR., M.D. is a Emergency Medicine healthcare provider located in JOHNSON CITY, New York. NPI 1831159300 is currently active in the NPPES registry. Verify at CMS.

Emergency Medicine · JOHNSON CITY, NY

Registration Details

NPI Number
1831159300
Provider Type
Individual
Gender
Male
NPI Issued
Mar 27, 2006 (20.373929574847 yrs)
Last Updated
Sep 3, 2020
Licenses
243575 (NY)
243575 (NY)

Practice Information

Address
33-57 HARRISON ST
JOHNSON CITY, NY, 137902107
Browse NY providers · Browse ZIP 13790
Phone
6077636412
Fax
6077635854
Primary Specialty
Emergency Medicine
207P00000X
Additional Specialty
Emergency Medicine

Other Emergency Medicine Providers in JOHNSON CITY, NY

Name Credential NPI
SABAH S TOMA MD 1558353946
THEODORE M PETKOV MD 1184616575
LILIANA LOFASO MD 1780677864
TERESA A SACCO DO 1396738472
STUART STILES MD 1750374518
DR. MALSUK PARK DO 1902890759
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.