Arlita D Jackson in Austell - General Practice
Arlita D Jackson - NPI 1194854901
Arlita D Jackson is a General Practice in Austell, Georgia. Arlita D Jackson practices all healthcare services and medical treatments related to General Practice. The NPI Number for Arlita D Jackson is 1194854901. The last update date is 2012-05-23.
Arlita D Jackson's current location address is 1790 Mulkey Rd, Austell, Georgia. You can contact this provider via phone number 7707394400 and fax number 7707399077. The mailing address for Arlita D Jackson is 1790 Mulkey Rd, Austell, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Arlita D Jackson |
|---|---|
| Address | 1790 Mulkey Rd, Austell, Georgia |
| Phone Number | 7707394400 |
| Fax Number | 7707399077 |
| Sole Proprietor | N |
| Credentials | D.M.D. |
NPI Number Detail
| NPI Number | 1194854901 |
|---|---|
| Provider Enumeration Date | 2007-03-05 |
| Last Updated Date | 2012-05-23 |
Provider Mailing Address Detail
| Address | 1790 Mulkey Rd |
|---|---|
| City | Austell |
| State | Georgia (GA) |
| Post Code | 301061122 |
| Phone Number | 7707394400 |
| Fax Number | 7707399077 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | DN11004 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00480213B | GA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Arlita D Jackson by the Centers for Medicare & Medicaid Services?
The Arlita D Jackson has been issued the NPI (National Provider Identifier) 1194854901, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Arlita D Jackson?
The Arlita D Jackson is situated at 1790 Mulkey Rd, in the city of Austell, state of GA, with the zip code 301061122.
What is Arlita D Jackson's specialized field of practice, and what is the corresponding taxonomy classification code?
The Arlita D Jackson's area of specialization is General Practice, and the corresponding taxonomy code that categorizes this field of practice is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services issue the 1194854901 to Arlita D Jackson?
The Arlita D Jackson received its 1194854901 assignment from the Centers for Medicare & Medicaid Services on 2007-03-05.
As of what date was the information regarding Arlita D Jackson, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Arlita D Jackson, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2012-05-23.