Phillip Gaynor Jackson in Atlanta - Internal Medicine

Phillip Gaynor Jackson - NPI 1265576581

Phillip Gaynor Jackson is a Internal Medicine in Atlanta, Georgia. Phillip Gaynor Jackson practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Phillip Gaynor Jackson is 1265576581. The last update date is 2007-07-08.

Phillip Gaynor Jackson's current location address is 5500 Rockton Wood Way Sw, Atlanta, Georgia. You can contact this provider via phone number 4044949540 and fax number 4043443706. The mailing address for Phillip Gaynor Jackson is 5500 Rockton Wood Way Sw, Atlanta, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Name Phillip Gaynor Jackson
Address 5500 Rockton Wood Way Sw, Atlanta, Georgia
Phone Number 4044949540
Fax Number 4043443706
Sole Proprietor Y
Credentials D.O.

NPI Number Detail

NPI Number 1265576581
Provider Enumeration Date 2007-02-19
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 5500 Rockton Wood Way Sw
City Atlanta
State Georgia (GA)
Post Code 303318904
Phone Number 4044949540
Fax Number 4043443706

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Licence No 48248
Definition:
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di

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FAQs about Phillip Gaynor Jackson

What is the unique identifier code issued to Phillip Gaynor Jackson by the Centers for Medicare & Medicaid Services (CMS)?

The Phillip Gaynor Jackson has been assigned the NPI (National Provider Identifier) 1265576581. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please provide the complete street address where Phillip Gaynor Jackson is physically located?

The Phillip Gaynor Jackson is physically situated at the following address: 5500 Rockton Wood Way Sw, Atlanta, GA, 303318904.

What is the Phillip Gaynor Jackson's area of specialization and corresponding taxonomy classification?

The Phillip Gaynor Jackson's specialty field is Internal Medicine, and it falls under the taxonomy code 207R00000X, which categorizes healthcare providers based on their specialties.

On what date was the 1265576581 assigned to Phillip Gaynor Jackson?

The Phillip Gaynor Jackson was issued its 1265576581 on 2007-02-19, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details pertaining to Phillip Gaynor Jackson last refreshed?

The information related to the Phillip Gaynor Jackson, including its address, specialty, and other relevant details, was last updated on 2007-07-08.

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