Danny Wade Jackson in Rolling Fork - Family Medicine
Danny Wade Jackson - NPI 1821013095
Danny Wade Jackson is a Family Medicine in Rolling Fork, Mississippi. Danny Wade Jackson practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Danny Wade Jackson is 1821013095. The last update date is 2010-01-21.
Danny Wade Jackson's current location address is Po Box 520, Rolling Fork, Mississippi. You can contact this provider via phone number 6628734361 and fax number 6628732921. The mailing address for Danny Wade Jackson is Po Box 520, Rolling Fork, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Danny Wade Jackson |
|---|---|
| Address | Po Box 520, Rolling Fork, Mississippi |
| Phone Number | 6628734361 |
| Fax Number | 6628732921 |
| Sole Proprietor | N |
| Credentials | D.O. |
NPI Number Detail
| NPI Number | 1821013095 |
|---|---|
| Provider Enumeration Date | 2006-07-12 |
| Last Updated Date | 2010-01-21 |
Provider Mailing Address Detail
| Address | Po Box 520 |
|---|---|
| City | Rolling Fork |
| State | Mississippi (MS) |
| Post Code | 391590520 |
| Phone Number | 6628734361 |
| Fax Number | 6628732921 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 9390 |
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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 |
|---|---|---|---|
| 19909 | MS | -- |
Post Comment/ Review Below
What is the Danny Wade Jackson's 1821013095?
The Danny Wade Jackson's NPI (National Provider Identifier) Number is 1821013095. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Danny Wade Jackson is located?
The Danny Wade Jackson is situated at the following address: Po Box 520, Rolling Fork, MS, 391590520.
What is Danny Wade Jackson's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Danny Wade Jackson is Family Medicine, and the taxonomy classification code that categorizes this area of expertise is 207Q00000X.
On what date did the Danny Wade Jackson receive the assignment of its 1821013095 from the Centers for Medicare & Medicaid Services?
The Danny Wade Jackson was issued its 1821013095 by the Centers for Medicare & Medicaid Services on 2006-07-12.
When was the information related to Danny Wade Jackson most recently updated or refreshed?
The details pertaining to the Danny Wade Jackson, including its address, specialty, and other relevant information, were last updated or refreshed on 2010-01-21.