All Medicaid billing entities listing JACKSON, THEODORE (PRESIDENT) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| West Virginia | 1 | $896.86 |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | HANS LEE MD INC | CHARLESTON, WV | Plastic Surgery Physician | $896.86 |