Evelyn Jackson in Columbus - Military Health Care Provider
Evelyn Jackson - NPI 1275625568
Evelyn Jackson is a Military Health Care Provider in Columbus, Georgia. Evelyn Jackson practices all healthcare services and medical treatments related to Military Health Care Provider. The NPI Number for Evelyn Jackson is 1275625568. The last update date is 2007-07-08.
Evelyn Jackson's current location address is 209 Miller Loop, Columbus, Georgia. You can contact this provider via phone number 7065451661. The mailing address for Evelyn Jackson is 209 Miller Loop, Columbus, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Evelyn Jackson |
|---|---|
| Address | 209 Miller Loop, Columbus, Georgia |
| Phone Number | 7065451661 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1275625568 |
|---|---|
| Provider Enumeration Date | 2006-09-28 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 209 Miller Loop |
|---|---|
| City | Columbus |
| State | Georgia (GA) |
| Post Code | 319056560 |
| Phone Number | 7065451661 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Military Health Care Provider |
|---|---|
| Taxonomy | 171000000X |
| Licence No | LCSW |
|
Definition: Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. |
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What is the unique 10-digit identifier code issued to Evelyn Jackson by the Centers for Medicare & Medicaid Services?
The Evelyn Jackson has been assigned the NPI (National Provider Identifier) 1275625568 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Evelyn Jackson?
The Evelyn Jackson is situated at 209 Miller Loop, in the city of Columbus, state of GA, with the zip code 319056560.
What is Evelyn Jackson's area of expertise and its corresponding taxonomy classification?
The Evelyn Jackson's field of specialization is Military Health Care Provider, and it falls under the taxonomy code 171000000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Evelyn Jackson receive its 1275625568 assignment from the Centers for Medicare & Medicaid Services?
The Evelyn Jackson was assigned its 1275625568 by the Centers for Medicare & Medicaid Services on 2006-09-28.
When was the information regarding Evelyn Jackson most recently updated?
The details pertaining to the Evelyn Jackson, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.