Stephen W Jackson is a Urology in Cleveland, Tennessee. Stephen W Jackson practices all healthcare services and medical treatments related to Urology. The NPI Number for Stephen W Jackson is 1386609808. The last update date is 2007-10-23.
Stephen W Jackson's current location address is 400 Berywood Trl Nw, Cleveland, Tennessee. You can contact this provider via phone number 4234723201 and fax number 4234764949. The mailing address for Stephen W Jackson is 400 Berywood Trl Nw, Cleveland, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stephen W Jackson |
|---|---|
| Address | 400 Berywood Trl Nw, Cleveland, Tennessee |
| Phone Number | 4234723201 |
| Fax Number | 4234764949 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1386609808 |
|---|---|
| Provider Enumeration Date | 2006-04-18 |
| Last Updated Date | 2007-10-23 |
Provider Mailing Address Detail
| Address | 400 Berywood Trl Nw |
|---|---|
| City | Cleveland |
| State | Tennessee (TN) |
| Post Code | 373125287 |
| Phone Number | 4234723201 |
| Fax Number | 4234764949 |
Provider's Primary Taxonomy Detail
| Speciality | Urology |
|---|---|
| Taxonomy | 208800000X |
| Licence No | MD017093 |
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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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Post Comment/ Review Below
Could you provide the complete physical address where Stephen W Jackson is located?
The Stephen W Jackson is situated at the following address: 400 Berywood Trl Nw, Cleveland, TN, 373125287.
Could you kindly provide the complete physical address where Stephen W Jackson's facilities are geographically located?
The facilities of Stephen W Jackson are physically situated at the following location: 400 Berywood Trl Nw, Cleveland, TN, 373125287.
On what date did Stephen W Jackson receive its 1386609808 assignment from the Centers for Medicare & Medicaid Services?
The Stephen W Jackson was assigned its 1386609808 on 2006-04-18, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
On what date did the Centers for Medicare & Medicaid Services assign the 1386609808 to Stephen W Jackson?
The Centers for Medicare & Medicaid Services assigned the 1386609808 to Stephen W Jackson on 2006-04-18.
As of what date was the information regarding Stephen W Jackson, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Stephen W Jackson, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-10-23.