Information as of 09/30/2020

Last Updated by Licensee on 05/27/2020

Barney Reece Jackson - MD Full and Unrestricted
License#: 
Issue Date: 
26942
05/07/1983
License Status: 
Renewal Date:
Active  
06/29/2021  
 Public Action: No
  
Licensee General Information
Active License
Reason CodeLicense NumberSubcategoryIssue DateExpire Date
 26942 05/07/1983 
Inactive License
Active Supervisee
SuperviseeTypeStatusApproval Date
Stewart, Douglas Taylor PAActive09/06/2018
North Carolina Hospital Admitting Privileges
Wake Forest Baptist Health - High Point Regional Medical Center
Out of State Active/Inactive Licenses
South Carolina
Out of Country Active/Inactive Licenses
None Reported