Charles Lee Jackson in Chattanooga - Urology
Charles Lee Jackson - NPI 1942263793
Charles Lee Jackson is a Urology in Chattanooga, Tennessee. Charles Lee Jackson practices all healthcare services and medical treatments related to Urology. The NPI Number for Charles Lee Jackson is 1942263793. The last update date is 2010-06-04.
Charles Lee Jackson's current location address is 725 Glenwood Dr, Chattanooga, Tennessee. You can contact this provider via phone number 4234953068 and fax number 4234953022. The mailing address for Charles Lee Jackson is 725 Glenwood Dr, Chattanooga, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Charles Lee Jackson |
|---|---|
| Address | 725 Glenwood Dr, Chattanooga, Tennessee |
| Phone Number | 4234953068 |
| Fax Number | 4234953022 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1942263793 |
|---|---|
| Provider Enumeration Date | 2006-04-11 |
| Last Updated Date | 2010-06-04 |
Provider Mailing Address Detail
| Address | 725 Glenwood Dr |
|---|---|
| City | Chattanooga |
| State | Tennessee (TN) |
| Post Code | 374041178 |
| Phone Number | 4234953068 |
| Fax Number | 4234953022 |
Provider's Primary Taxonomy Detail
| Speciality | Urology |
|---|---|
| Taxonomy | 208800000X |
| Licence No | ME0053658 |
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Definition: A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquir |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 44337900 | FL | -- | |
| 1507399 | TN | -- |
Post Comment/ Review Below
What is the Charles Lee Jackson's 1942263793?
The Charles Lee Jackson's NPI (National Provider Identifier) Number is 1942263793. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Charles Lee Jackson's facilities are geographically located?
The facilities of Charles Lee Jackson are physically situated at the following location: 725 Glenwood Dr, Chattanooga, TN, 374041178.
What is Charles Lee Jackson's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Charles Lee Jackson is Urology, and the taxonomy code that classifies this field of practice is 208800000X.
On what date was the 1942263793 assigned to Charles Lee Jackson?
The Charles Lee Jackson was issued its 1942263793 on 2006-04-11, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Charles Lee Jackson, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Charles Lee Jackson, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2010-06-04.