Robert E Jackson in Atlanta - Family Medicine

Robert E Jackson - NPI 1710965637

Robert E Jackson is a Family Medicine in Atlanta, Georgia. Robert E Jackson practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Robert E Jackson is 1710965637. The last update date is 2021-01-21.

Robert E Jackson's current location address is Po Box 743070, Atlanta, Georgia. You can contact this provider via phone number 8645604304 and fax number 8645604413. The mailing address for Robert E Jackson is Po Box 743070, Atlanta, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Name Robert E Jackson
Address Po Box 743070, Atlanta, Georgia
Phone Number 8645604304
Fax Number 8645604413
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1710965637
Provider Enumeration Date 2006-01-03
Last Updated Date 2021-01-21

Provider Mailing Address Detail

Address Po Box 743070
City Atlanta
State Georgia (GA)
Post Code 303743070
Phone Number 8645604304
Fax Number 8645604413

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No 10879
Definition:
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
SCG5856067 SC MEDICARE PIN
18797 SC --
SCG5856084 SC MEDICARE PIN
SCG585J577 SC MEDICARE PIN
80075169 RR MCR

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FAQs about Robert E Jackson

What is the unique 10-digit identifier code assigned to Robert E Jackson by the Centers for Medicare & Medicaid Services?

The Robert E Jackson has been issued the NPI (National Provider Identifier) 1710965637 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

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

The Robert E Jackson is situated at the following address: Po Box 743070, Atlanta, GA, 303743070.

What is Robert E Jackson's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Robert E Jackson is Family Medicine, and the taxonomy code that categorizes this field of expertise is 207Q00000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1710965637 to Robert E Jackson?

The Centers for Medicare & Medicaid Services originally issued the 1710965637 to Robert E Jackson on 2006-01-03.

When was the information regarding Robert E Jackson, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Robert E Jackson, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2021-01-21.

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