Charles West Jacocks in Fayetteville - Cardiovascular Disease
Charles West Jacocks - NPI 1720051105
Charles West Jacocks is a Cardiovascular Disease in Fayetteville, North Carolina. Charles West Jacocks practices all healthcare services and medical treatments related to Cardiovascular Disease. The NPI Number for Charles West Jacocks is 1720051105. The last update date is 2019-07-31.
Charles West Jacocks's current location address is 2300 Ramsey St Rm 304-a, Fayetteville, North Carolina. You can contact this provider via phone number 9104882120. The mailing address for Charles West Jacocks is 2300 Ramsey St Rm 304-a, Fayetteville, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Charles West Jacocks |
|---|---|
| Address | 2300 Ramsey St Rm 304-a, Fayetteville, North Carolina |
| Phone Number | 9104882120 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1720051105 |
|---|---|
| Provider Enumeration Date | 2006-02-08 |
| Last Updated Date | 2019-07-31 |
Provider Mailing Address Detail
| Address | 2300 Ramsey St Rm 304-a |
|---|---|
| City | Fayetteville |
| State | North Carolina (NC) |
| Post Code | 283013856 |
| Phone Number | 9104882120 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Cardiovascular Disease |
|---|---|
| Taxonomy | 207Rc0000X |
| Licence No | 14114 |
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Definition: An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 141144 | SC | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Charles West Jacocks by the Centers for Medicare & Medicaid Services (CMS)?
The Charles West Jacocks has been assigned the NPI (National Provider Identifier) 1720051105. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of Charles West Jacocks?
The Charles West Jacocks is situated at 2300 Ramsey St Rm 304-A, in the city of Fayetteville, state of NC, with the zip code 283013856.
What is Charles West Jacocks's specialized field of practice, and what is the corresponding taxonomy classification code?
The Charles West Jacocks's area of specialization is Cardiovascular Disease, and the corresponding taxonomy code that categorizes this field of practice is 207Rc0000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1720051105 to Charles West Jacocks?
The Charles West Jacocks received its 1720051105 assignment from the Centers for Medicare & Medicaid Services on 2006-02-08.
As of what date was the information regarding Charles West Jacocks, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Charles West Jacocks, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2019-07-31.