Ronnie Lee Jackson in Springfield - Pulmonary Disease

Ronnie Lee Jackson - NPI 1174500896

Ronnie Lee Jackson is a Pulmonary Disease in Springfield, Tennessee. Ronnie Lee Jackson practices all healthcare services and medical treatments related to Pulmonary Disease. The NPI Number for Ronnie Lee Jackson is 1174500896. The last update date is 2015-12-14.

Ronnie Lee Jackson's current location address is 100 Northcrest Dr, Springfield, Tennessee. You can contact this provider via phone number 6153842411. The mailing address for Ronnie Lee Jackson is 100 Northcrest Dr, Springfield, Tennessee. To know further, please read the information below!

Provider Profile Detail

Provider Name Ronnie Lee Jackson
Address 100 Northcrest Dr, Springfield, Tennessee
Phone Number 6153842411
Fax Number
Sole Proprietor Y
Credentials MD

NPI Number Detail

NPI Number 1174500896
Provider Enumeration Date 2005-12-22
Last Updated Date 2015-12-14

Provider Mailing Address Detail

Address 100 Northcrest Dr
City Springfield
State Tennessee (TN)
Post Code 371723927
Phone Number 6153842411
Fax Number

Provider's Primary Taxonomy Detail

Speciality Pulmonary Disease
Taxonomy 207Rp1001X
Licence No MD020868
Definition:
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
3077609 TN --

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FAQs about Ronnie Lee Jackson

What is the unique 10-digit identification code issued to Ronnie Lee Jackson by the Centers for Medicare & Medicaid Services?

The Ronnie Lee Jackson has been assigned the NPI (National Provider Identifier) 1174500896 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please provide the complete street address where Ronnie Lee Jackson is physically located?

The Ronnie Lee Jackson is physically situated at the following address: 100 Northcrest Dr, Springfield, TN, 371723927.

What is the Ronnie Lee Jackson's specialty and taxonomy code?

The Ronnie Lee Jackson's specialty is Pulmonary Disease, and the corresponding taxonomy code is 207Rp1001X.

On what date was the 1174500896 assigned to Ronnie Lee Jackson?

The Ronnie Lee Jackson was issued its 1174500896 on 2005-12-22, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information related to Ronnie Lee Jackson most recently updated or refreshed?

The details pertaining to the Ronnie Lee Jackson, including its address, specialty, and other relevant information, were last updated or refreshed on 2015-12-14.

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