Charles David Jackson in Fayetteville - Pediatrics
Charles David Jackson - NPI 1508800665
Charles David Jackson is a Pediatrics in Fayetteville, Arkansas. Charles David Jackson practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Charles David Jackson is 1508800665. The last update date is 2021-12-29.
Charles David Jackson's current location address is Po Box 1523, Fayetteville, Arkansas. You can contact this provider via phone number 4795716038 and fax number 4795820222. The mailing address for Charles David Jackson is Po Box 1523, Fayetteville, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Charles David Jackson |
|---|---|
| Address | Po Box 1523, Fayetteville, Arkansas |
| Phone Number | 4795716038 |
| Fax Number | 4795820222 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1508800665 |
|---|---|
| Provider Enumeration Date | 2006-06-16 |
| Last Updated Date | 2021-12-29 |
Provider Mailing Address Detail
| Address | Po Box 1523 |
|---|---|
| City | Fayetteville |
| State | Arkansas (AR) |
| Post Code | 727021523 |
| Phone Number | 4795716038 |
| Fax Number | 4795820222 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
| Licence No | C-6427 |
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Definition: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 51110 | AR | AR BC/BS | |
| 113041001 | AR | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Charles David Jackson by the Centers for Medicare & Medicaid Services?
The Charles David Jackson has been assigned the NPI (National Provider Identifier) 1508800665 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical location address where Charles David Jackson's facilities are situated?
The facilities of Charles David Jackson are physically located at the following address: Po Box 1523, Fayetteville, AR, 727021523.
What is Charles David Jackson's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Charles David Jackson is Pediatrics, and the corresponding taxonomy classification code for this specialized field is 208000000X.
On what date did the Charles David Jackson receive its 1508800665 assignment from the Centers for Medicare & Medicaid Services?
The Charles David Jackson was assigned its 1508800665 by the Centers for Medicare & Medicaid Services on 2006-06-16.
When was the information regarding Charles David Jackson most recently updated?
The details pertaining to the Charles David Jackson, including its address, specialty, and other relevant information, were last refreshed on 2021-12-29.