Tanjela M Jackson is a Nephrology in Atlanta, Georgia. Tanjela M Jackson practices all healthcare services and medical treatments related to Nephrology. The NPI Number for Tanjela M Jackson is 1265420574. The last update date is 2020-12-16.
Tanjela M Jackson's current location address is 3620 Martin Luther King Jr Dr Sw, Atlanta, Georgia. You can contact this provider via phone number 4046967300. The mailing address for Tanjela M Jackson is 3620 Martin Luther King Jr Dr Sw, Atlanta, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tanjela M Jackson |
|---|---|
| Address | 3620 Martin Luther King Jr Dr Sw, Atlanta, Georgia |
| Phone Number | 4046967300 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1265420574 |
|---|---|
| Provider Enumeration Date | 2005-10-11 |
| Last Updated Date | 2020-12-16 |
Provider Mailing Address Detail
| Address | 3620 Martin Luther King Jr Dr Sw |
|---|---|
| City | Atlanta |
| State | Georgia (GA) |
| Post Code | 303313711 |
| Phone Number | 4046967300 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Nephrology |
|---|---|
| Taxonomy | 207Rn0300X |
| Licence No | 54755 |
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Definition: An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2490487 | GA | UNITED HEALTH CARE | |
| 748360477F | GA | -- | |
| 748360477H | GA | -- | |
| 748360477 | GA | -- | |
| 7889745 | GA | AETNA | |
| 52152577 | GA | BCBS | |
| 7368440 | GA | CIGNA | |
| 748360477G | GA | -- | |
| 748360477K | GA | -- | |
| 748360477E | GA | -- |
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What is the unique 10-digit identifier code issued to Tanjela M Jackson by the Centers for Medicare & Medicaid Services?
The Tanjela M Jackson has been assigned the NPI (National Provider Identifier) 1265420574 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Where is the Tanjela M Jackson located?
The Tanjela M Jackson is located at 3620 Martin Luther King Jr Dr Sw, Atlanta, GA 303313711.
What is the Tanjela M Jackson's specialty and taxonomy code?
The Tanjela M Jackson's specialty is Nephrology, and the corresponding taxonomy code is 207Rn0300X.
On what date did the Tanjela M Jackson receive the assignment of its 1265420574 from the Centers for Medicare & Medicaid Services?
The Tanjela M Jackson was issued its 1265420574 by the Centers for Medicare & Medicaid Services on 2005-10-11.
As of what date were the Tanjela M Jackson's details last updated?
The information pertaining to the Tanjela M Jackson, including its address, specialty, and other details, was most recently updated on 2020-12-16.