| Dominique Latia Jackson, PA-C | |
|
1760 E Dixon Blvd, Shelby, NC 28152-6948 | |
| (704) 480-9344 | |
| (704) 482-8494 |
| Full Name | Dominique Latia Jackson |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 1760 E Dixon Blvd, Shelby, North Carolina |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841054392 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 0010-14318 (North Carolina) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dominique Latia Jackson, PA-C 200 E 2nd Ave, Gastonia, NC 28052-4358 Ph: () - | Dominique Latia Jackson, PA-C 1760 E Dixon Blvd, Shelby, NC 28152-6948 Ph: (704) 480-9344 |
Justen Daniel Wright, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 201 E Grover St, Shelby, NC 28150 Phone: 980-487-3000 | |
Anne Marie Lackey Gordon, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 709 N Dekalb St, Shelby, NC 28150 Phone: 980-487-2100 | |
Jenna Grace Bridges, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 201 E Grover St, Shelby, NC 28150 Phone: 980-487-3751 | |
Mr. Phillip R. Talbert, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 935 Wyke Rd, Shelby, NC 28150 Phone: 704-481-1142 Fax: 704-481-8305 | |
Caitlin Colleen Christ, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 200 W Grover St, Shelby, NC 28150 Phone: 704-487-8591 | |
Mr. Paul A Claroni, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 808 Schenck St, Shelby, NC 28150 Phone: 704-484-3647 Fax: 704-484-3260 | |
Mrs. Christina Duffy Hayes, PAC Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 935 Wyke Rd, Shelby, NC 28150 Phone: 704-481-1142 Fax: 704-481-8305 |