Mark W Jackson in Knoxville - Gastroenterology

Mark W Jackson - NPI 1699745273

Mark W Jackson is a Gastroenterology in Knoxville, Tennessee. Mark W Jackson practices all healthcare services and medical treatments related to Gastroenterology. The NPI Number for Mark W Jackson is 1699745273. The last update date is 2012-02-03.

Mark W Jackson's current location address is 1819 W Clinch Ave, Knoxville, Tennessee. You can contact this provider via phone number 8655236418 and fax number 8655236587. The mailing address for Mark W Jackson is 1819 W Clinch Ave, Knoxville, Tennessee. To know further, please read the information below!

Provider Profile Detail

Provider Name Mark W Jackson
Address 1819 W Clinch Ave, Knoxville, Tennessee
Phone Number 8655236418
Fax Number 8655236587
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1699745273
Provider Enumeration Date 2006-01-25
Last Updated Date 2012-02-03

Provider Mailing Address Detail

Address 1819 W Clinch Ave
City Knoxville
State Tennessee (TN)
Post Code 379162434
Phone Number 8655236418
Fax Number 8655236587

Provider's Primary Taxonomy Detail

Speciality Gastroenterology
Taxonomy 207Rg0100X
Licence No MD28432
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

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FAQs about Mark W Jackson

What is the unique 10-digit identifier code assigned to Mark W Jackson by the Centers for Medicare & Medicaid Services?

The Mark W Jackson has been issued the NPI (National Provider Identifier) 1699745273 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please provide the complete street address where Mark W Jackson is physically located?

The Mark W Jackson is physically situated at the following address: 1819 W Clinch Ave, Knoxville, TN, 379162434.

What is the Mark W Jackson's specialty and taxonomy code?

The Mark W Jackson's specialty is Gastroenterology, and the corresponding taxonomy code is 207Rg0100X.

On what date did the Mark W Jackson receive the assignment of its 1699745273 from the Centers for Medicare & Medicaid Services?

The Mark W Jackson was issued its 1699745273 by the Centers for Medicare & Medicaid Services on 2006-01-25.

As of what date were the details pertaining to Mark W Jackson last refreshed?

The information related to the Mark W Jackson, including its address, specialty, and other relevant details, was last updated on 2012-02-03.

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