Robert Lewis Jackson in Memphis - Dermatology
Robert Lewis Jackson - NPI 1720072200
Robert Lewis Jackson is a Dermatology in Memphis, Tennessee. Robert Lewis Jackson practices all healthcare services and medical treatments related to Dermatology. The NPI Number for Robert Lewis Jackson is 1720072200. The last update date is 2022-02-11.
Robert Lewis Jackson's current location address is 6286 Briarcrest Ave, Memphis, Tennessee. You can contact this provider via phone number 9017617720 and fax number 9017615213. The mailing address for Robert Lewis Jackson is 6286 Briarcrest Ave, Memphis, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Robert Lewis Jackson |
|---|---|
| Address | 6286 Briarcrest Ave, Memphis, Tennessee |
| Phone Number | 9017617720 |
| Fax Number | 9017615213 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1720072200 |
|---|---|
| Provider Enumeration Date | 2005-09-09 |
| Last Updated Date | 2022-02-11 |
Provider Mailing Address Detail
| Address | 6286 Briarcrest Ave |
|---|---|
| City | Memphis |
| State | Tennessee (TN) |
| Post Code | 381204078 |
| Phone Number | 9017617720 |
| Fax Number | 9017615213 |
Provider's Primary Taxonomy Detail
| Speciality | Dermatology |
|---|---|
| Taxonomy | 207N00000X |
| Licence No | 12016 |
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Definition: A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3-175279 | TN | -- | |
| 114075001 | AR | -- | |
| J-85 | TN | BLUE SHIELD |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Robert Lewis Jackson by the Centers for Medicare & Medicaid Services?
The Robert Lewis Jackson has been assigned the NPI (National Provider Identifier) 1720072200 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Robert Lewis Jackson is geographically located?
The Robert Lewis Jackson is physically situated at the following location: 6286 Briarcrest Ave, Memphis, TN, 381204078.
What is Robert Lewis Jackson's specialized field of practice, and what is the corresponding taxonomy classification code?
The Robert Lewis Jackson's area of specialization is Dermatology, and the corresponding taxonomy code that categorizes this field of practice is 207N00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1720072200 to Robert Lewis Jackson?
The Centers for Medicare & Medicaid Services originally issued the 1720072200 to Robert Lewis Jackson on 2005-09-09.
As of what date were the Robert Lewis Jackson's details last updated?
The information pertaining to the Robert Lewis Jackson, including its address, specialty, and other details, was most recently updated on 2022-02-11.
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