Michael S Jackson in Silver Creek - Family Medicine
Michael S Jackson - NPI 1306830062
Michael S Jackson is a Family Medicine in Silver Creek, Georgia. Michael S Jackson practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Michael S Jackson is 1306830062. The last update date is 2019-08-12.
Michael S Jackson's current location address is Po Box 40, Silver Creek, Georgia. You can contact this provider via phone number 7062669090 and fax number 7062048797. The mailing address for Michael S Jackson is Po Box 40, Silver Creek, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael S Jackson |
|---|---|
| Address | Po Box 40, Silver Creek, Georgia |
| Phone Number | 7062669090 |
| Fax Number | 7062048797 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1306830062 |
|---|---|
| Provider Enumeration Date | 2005-09-08 |
| Last Updated Date | 2019-08-12 |
Provider Mailing Address Detail
| Address | Po Box 40 |
|---|---|
| City | Silver Creek |
| State | Georgia (GA) |
| Post Code | 301730040 |
| Phone Number | 7062669090 |
| Fax Number | 7062048797 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 55376 |
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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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 000807474D | GA | -- | |
| 1164745782 | MEDICARE TYPE 2 ORGANIZATIONAL | ||
| 202I080352 | MEDICARE PTAN | ||
| 000807474B | GA | -- | |
| 000807474C | GA | -- | |
| 1306830062 | MEDICARE NPI |
Post Comment/ Review Below
What is the unique identification code assigned to Michael S Jackson by the Centers for Medicare & Medicaid Services?
The Michael S Jackson has been issued the NPI (National Provider Identifier) 1306830062. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Michael S Jackson's facilities are situated?
The facilities of Michael S Jackson are physically located at the following address: Po Box 40, Silver Creek, GA, 301730040.
What is Michael S Jackson's specialized field of practice, and what is the corresponding taxonomy classification code?
The Michael S Jackson's area of specialization is Family Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207Q00000X.
When was the Michael S Jackson's 1306830062 issued?
The Michael S Jackson's 1306830062 was issued on 2005-09-08.
When was the information regarding Michael S Jackson most recently updated?
The details pertaining to the Michael S Jackson, including its address, specialty, and other relevant information, were last refreshed on 2019-08-12.