Clintonia Jackson in Greenville - Anesthesiology

Clintonia Jackson - NPI 1164585790

Clintonia Jackson is a Anesthesiology in Greenville, South Carolina. Clintonia Jackson practices all healthcare services and medical treatments related to Anesthesiology. The NPI Number for Clintonia Jackson is 1164585790. The last update date is 2016-08-23.

Clintonia Jackson's current location address is 5 Memorial Medical Ct, Greenville, South Carolina. You can contact this provider via phone number 8642723409. The mailing address for Clintonia Jackson is 5 Memorial Medical Ct, Greenville, South Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name Clintonia Jackson
Address 5 Memorial Medical Ct, Greenville, South Carolina
Phone Number 8642723409
Fax Number
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1164585790
Provider Enumeration Date 2006-12-18
Last Updated Date 2016-08-23

Provider Mailing Address Detail

Address 5 Memorial Medical Ct
City Greenville
State South Carolina (SC)
Post Code 296054449
Phone Number 8642723409
Fax Number

Provider's Primary Taxonomy Detail

Speciality Anesthesiology
Taxonomy 207L00000X
Licence No ME66277
Definition:
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
42300 FL --

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FAQs about Clintonia Jackson

What is the unique provider identifier assigned to Clintonia Jackson?

The Clintonia Jackson has been issued the NPI (National Provider Identifier) 1164585790 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you provide the complete physical address where Clintonia Jackson is located?

The Clintonia Jackson is situated at the following address: 5 Memorial Medical Ct, Greenville, SC, 296054449.

What is the Clintonia Jackson's specialty and taxonomy code?

The Clintonia Jackson's specialty is Anesthesiology, and the corresponding taxonomy code is 207L00000X.

When did Clintonia Jackson receive its 1164585790 assignment?

The Clintonia Jackson was assigned its 1164585790 on 2006-12-18, which is the date when this unique identifier was issued to the organization.

When was the information related to Clintonia Jackson most recently updated or refreshed?

The details pertaining to the Clintonia Jackson, including its address, specialty, and other relevant information, were last updated or refreshed on 2016-08-23.

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