Lasandra D Jackson is a Surgery in Greer, South Carolina. Lasandra D Jackson practices all healthcare services and medical treatments related to Surgery. The NPI Number for Lasandra D Jackson is 1356429674. The last update date is 2019-07-25.
Lasandra D Jackson's current location address is 2755 S Highway 14, Greer, South Carolina. You can contact this provider via phone number 8648499555 and fax number 8648499556. The mailing address for Lasandra D Jackson is 2755 S Highway 14, Greer, South Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lasandra D Jackson |
|---|---|
| Address | 2755 S Highway 14, Greer, South Carolina |
| Phone Number | 8648499555 |
| Fax Number | 8648499556 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1356429674 |
|---|---|
| Provider Enumeration Date | 2006-11-02 |
| Last Updated Date | 2019-07-25 |
Provider Mailing Address Detail
| Address | 2755 S Highway 14 |
|---|---|
| City | Greer |
| State | South Carolina (SC) |
| Post Code | 296504902 |
| Phone Number | 8648499555 |
| Fax Number | 8648499556 |
Provider's Primary Taxonomy Detail
| Speciality | Surgery |
|---|---|
| Taxonomy | 208600000X |
| Licence No | 101240815 |
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Definition: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 202890 | SC | -- | |
| C09633 | VA | GROUP PTAN | |
| C06695 | VA | GROUP PTAN |
Post Comment/ Review Below
What is the Lasandra D Jackson's 1356429674?
The Lasandra D Jackson's NPI (National Provider Identifier) Number is 1356429674. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Lasandra D Jackson is located?
The Lasandra D Jackson is situated at the following address: 2755 S Highway 14, Greer, SC, 296504902.
What is Lasandra D Jackson's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Lasandra D Jackson is Surgery, and the taxonomy classification code that categorizes this area of expertise is 208600000X.
When did Lasandra D Jackson receive its 1356429674 assignment?
The Lasandra D Jackson was assigned its 1356429674 on 2006-11-02, which is the date when this unique identifier was issued to the organization.
When was the information regarding Lasandra D Jackson, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Lasandra D Jackson, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2019-07-25.