Marlon B Jackson in Atlanta - General Practice
Marlon B Jackson - NPI 1558423491
Marlon B Jackson is a General Practice in Atlanta, Georgia. Marlon B Jackson practices all healthcare services and medical treatments related to General Practice. The NPI Number for Marlon B Jackson is 1558423491. The last update date is 2013-02-20.
Marlon B Jackson's current location address is 210 Auburn Ave Ne, Atlanta, Georgia. You can contact this provider via phone number 4046813834 and fax number 4046819108. The mailing address for Marlon B Jackson is 210 Auburn Ave Ne, Atlanta, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Marlon B Jackson |
|---|---|
| Address | 210 Auburn Ave Ne, Atlanta, Georgia |
| Phone Number | 4046813834 |
| Fax Number | 4046819108 |
| Sole Proprietor | Y |
| Credentials | D.D.S |
NPI Number Detail
| NPI Number | 1558423491 |
|---|---|
| Provider Enumeration Date | 2006-12-15 |
| Last Updated Date | 2013-02-20 |
Provider Mailing Address Detail
| Address | 210 Auburn Ave Ne |
|---|---|
| City | Atlanta |
| State | Georgia (GA) |
| Post Code | 303032610 |
| Phone Number | 4046813834 |
| Fax Number | 4046819108 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 9878 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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What is the unique 10-digit identifier code assigned to Marlon B Jackson by the Centers for Medicare & Medicaid Services?
The Marlon B Jackson has been issued the NPI (National Provider Identifier) 1558423491 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Marlon B Jackson?
The Marlon B Jackson is physically situated at 210 Auburn Ave Ne, in the city of Atlanta, state of GA, with the postal code 303032610.
What is the Marlon B Jackson's area of specialization and corresponding taxonomy classification?
The Marlon B Jackson's specialty field is General Practice, and it falls under the taxonomy code 1223G0001X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1558423491 to Marlon B Jackson?
The Centers for Medicare & Medicaid Services originally issued the 1558423491 to Marlon B Jackson on 2006-12-15.
When was the information related to Marlon B Jackson most recently updated or refreshed?
The details pertaining to the Marlon B Jackson, including its address, specialty, and other relevant information, were last updated or refreshed on 2013-02-20.
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