Joseph P Jackson in Camden - Specialist

Joseph P Jackson - NPI 1790781177

Joseph P Jackson is a Specialist in Camden, South Carolina. Joseph P Jackson practices all healthcare services and medical treatments related to Specialist. The NPI Number for Joseph P Jackson is 1790781177. The last update date is 2008-05-21.

Joseph P Jackson's current location address is 507 Walnut St, Camden, South Carolina. You can contact this provider via phone number 8034329300 and fax number 8034329307. The mailing address for Joseph P Jackson is 507 Walnut St, Camden, South Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name Joseph P Jackson
Address 507 Walnut St, Camden, South Carolina
Phone Number 8034329300
Fax Number 8034329307
Sole Proprietor Y
Credentials M.D.

NPI Number Detail

NPI Number 1790781177
Provider Enumeration Date 2005-06-22
Last Updated Date 2008-05-21

Provider Mailing Address Detail

Address 507 Walnut St
City Camden
State South Carolina (SC)
Post Code 290203649
Phone Number 8034329300
Fax Number 8034329307

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No 7447
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
10026253 SC RAILROAD MEDICARE
GP0279 SC --

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FAQs about Joseph P Jackson

What is the unique provider identifier assigned to Joseph P Jackson?

The Joseph P Jackson has been issued the NPI (National Provider Identifier) 1790781177 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Where is the Joseph P Jackson located?

The Joseph P Jackson is located at 507 Walnut St, Camden, SC 290203649.

What is Joseph P Jackson's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Joseph P Jackson's specialized field of practice is Specialist, and the corresponding taxonomy code that categorizes this area of specialization is 174400000X.

When did the Joseph P Jackson receive its 1790781177?

The Joseph P Jackson was issued its 1790781177 on 2005-06-22, which is the date when the organization was assigned this unique identifier.

As of what date were the details pertaining to Joseph P Jackson last refreshed?

The information related to the Joseph P Jackson, including its address, specialty, and other relevant details, was last updated on 2008-05-21.

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