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Benjamin Jackson, DO — NPI 1639675044, Greensboro, NC | NPI Central

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Benjamin Jackson, DO

NPI 1639675044 · Sports Medicine (Family Medicine) Physician · Greensboro, NC

Provider details

NPI number: 1639675044
Entity type: Individual
Primary specialty: Sports Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
Credential: DO
Sex: Male
Sole proprietor: No

Specialties & taxonomies

Sports Medicine (Family Medicine) PhysicianPrimary207QS0010XLicense 2021-01092 (NC)
Allopathic & Osteopathic Physicians
Student in an Organized Health Care Education/Training Program390200000X
Student, Health Care

Practice location

709 Green Valley Rd

Greensboro, NC 27408-7019

Phone: (336) 890-2530

Approximate (ZIP-level) locationGet directions

More NC providers

Mailing address

300 W 27th St

Lumberton, NC 28358-3075

Additional practice locations (1)

730 Oakridge Blvd
Lumberton, NC 28358-2324
Phone: (910) 738-2662
Fax: (910) 738-3730

Registry dates

Enumerated: 2018-04-04
Last updated: 2022-07-25
Certified: 2022-07-25

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.