Angela Patrice Jackson in Riverdale - Pediatrics
Angela Patrice Jackson - NPI 1124292826
Angela Patrice Jackson is a Pediatrics in Riverdale, Georgia. Angela Patrice Jackson practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Angela Patrice Jackson is 1124292826. The last update date is 2011-10-25.
Angela Patrice Jackson's current location address is 808 Commerce Blvd, Riverdale, Georgia. You can contact this provider via phone number 7709969191 and fax number 7709965298. The mailing address for Angela Patrice Jackson is 808 Commerce Blvd, Riverdale, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Angela Patrice Jackson |
|---|---|
| Address | 808 Commerce Blvd, Riverdale, Georgia |
| Phone Number | 7709969191 |
| Fax Number | 7709965298 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1124292826 |
|---|---|
| Provider Enumeration Date | 2008-04-15 |
| Last Updated Date | 2011-10-25 |
Provider Mailing Address Detail
| Address | 808 Commerce Blvd |
|---|---|
| City | Riverdale |
| State | Georgia (GA) |
| Post Code | 302967192 |
| Phone Number | 7709969191 |
| Fax Number | 7709965298 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
| Licence No | 1627 |
|
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 |
|
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Angela Patrice Jackson by the Centers for Medicare & Medicaid Services?
The Angela Patrice Jackson has been issued the NPI (National Provider Identifier) 1124292826 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Angela Patrice Jackson?
The Angela Patrice Jackson is situated at 808 Commerce Blvd, in the city of Riverdale, state of GA, with the zip code 302967192.
What is the Angela Patrice Jackson's area of specialization and corresponding taxonomy classification?
The Angela Patrice Jackson's specialty field is Pediatrics, and it falls under the taxonomy code 208000000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1124292826 to Angela Patrice Jackson?
The Centers for Medicare & Medicaid Services assigned the 1124292826 to Angela Patrice Jackson on 2008-04-15.
When was the information pertaining to Angela Patrice Jackson most recently updated or revised?
The details related to Angela Patrice Jackson, including its address, specialty, and other relevant information, were last updated or revised on 2011-10-25.