Daniel Forrest Jackson in Dothan - Gastroenterology

Daniel Forrest Jackson - NPI 1922052794

Daniel Forrest Jackson is a Gastroenterology in Dothan, Alabama. Daniel Forrest Jackson practices all healthcare services and medical treatments related to Gastroenterology. The NPI Number for Daniel Forrest Jackson is 1922052794. The last update date is 2007-07-08.

Daniel Forrest Jackson's current location address is 480 Honeysuckle Rd, Dothan, Alabama. You can contact this provider via phone number 3348361212 and fax number 3348361888. The mailing address for Daniel Forrest Jackson is 480 Honeysuckle Rd, Dothan, Alabama. To know further, please read the information below!

Provider Profile Detail

Provider Name Daniel Forrest Jackson
Address 480 Honeysuckle Rd, Dothan, Alabama
Phone Number 3348361212
Fax Number 3348361888
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1922052794
Provider Enumeration Date 2006-05-19
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 480 Honeysuckle Rd
City Dothan
State Alabama (AL)
Post Code 36305
Phone Number 3348361212
Fax Number 3348361888

Provider's Primary Taxonomy Detail

Speciality Gastroenterology
Taxonomy 207Rg0100X
Licence No 11900
Definition:
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and perf

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1199413 UNITED HEALTHCARE
00301254A GA --
P00229127 RAILROAD MEDICARE

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FAQs about Daniel Forrest Jackson

What is the unique identifier code issued to Daniel Forrest Jackson by the Centers for Medicare & Medicaid Services?

The Daniel Forrest Jackson has been assigned the NPI (National Provider Identifier) 1922052794. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Daniel Forrest Jackson is physically located?

The Daniel Forrest Jackson is situated at the following address: 480 Honeysuckle Rd, Dothan, AL 36305.

What is the area of specialization for Daniel Forrest Jackson, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Daniel Forrest Jackson is Gastroenterology, and the corresponding taxonomy code that categorizes this area of expertise is 207Rg0100X.

On what date did the Centers for Medicare & Medicaid Services issue the 1922052794 to Daniel Forrest Jackson?

The Daniel Forrest Jackson received its 1922052794 assignment from the Centers for Medicare & Medicaid Services on 2006-05-19.

As of what date were the Daniel Forrest Jackson's details last updated?

The information pertaining to the Daniel Forrest Jackson, including its address, specialty, and other details, was most recently updated on 2007-07-08.

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