David Stone Jackson in Winston Salem - Family Medicine
David Stone Jackson - NPI 1457335416
David Stone Jackson is a Family Medicine in Winston Salem, North Carolina. David Stone Jackson practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for David Stone Jackson is 1457335416. The last update date is 2014-03-25.
David Stone Jackson's current location address is Po Box 344, Winston Salem, North Carolina. You can contact this provider via phone number 3367162255. The mailing address for David Stone Jackson is Po Box 344, Winston Salem, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | David Stone Jackson |
|---|---|
| Address | Po Box 344, Winston Salem, North Carolina |
| Phone Number | 3367162255 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1457335416 |
|---|---|
| Provider Enumeration Date | 2005-12-02 |
| Last Updated Date | 2014-03-25 |
Provider Mailing Address Detail
| Address | Po Box 344 |
|---|---|
| City | Winston Salem |
| State | North Carolina (NC) |
| Post Code | 271020344 |
| Phone Number | 3367162255 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 18663 |
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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 |
|---|---|---|---|
| 7311559 | VA | -- | |
| 45508 | NC | BCBS | |
| 5145 | NC | PARTNERS | |
| Q18663 | SC | -- | |
| 8945508 | NC | -- | |
| 2005640000 | WV | -- | |
| 5489254 | AETNA | ||
| 25848 | NC | MEDCOST |
Post Comment/ Review Below
What is the unique identification code assigned to David Stone Jackson by the Centers for Medicare & Medicaid Services?
The David Stone Jackson has been issued the NPI (National Provider Identifier) 1457335416. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where David Stone Jackson is physically located?
The David Stone Jackson is physically situated at the following address: Po Box 344, Winston Salem, NC, 271020344.
What is David Stone Jackson's specialized field of practice, and what is the corresponding taxonomy classification code?
The David Stone Jackson's area of specialization is Family Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207Q00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1457335416 to David Stone Jackson?
The Centers for Medicare & Medicaid Services assigned the 1457335416 to David Stone Jackson on 2005-12-02.
When was the David Stone Jackson's information last updated?
The David Stone Jackson's information was last updated on 2014-03-25.