Byron Jackson is a Podiatrist in Orangeburg, South Carolina. Byron Jackson practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Byron Jackson is 1265516447. The last update date is 2022-07-26.
Byron Jackson's current location address is 3310 Magnolia St, Orangeburg, South Carolina. You can contact this provider via phone number 8035316900 and fax number 8035316907. The mailing address for Byron Jackson is 3310 Magnolia St, Orangeburg, South Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Byron Jackson |
|---|---|
| Address | 3310 Magnolia St, Orangeburg, South Carolina |
| Phone Number | 8035316900 |
| Fax Number | 8035316907 |
| Sole Proprietor | Y |
| Credentials | DPM |
NPI Number Detail
| NPI Number | 1265516447 |
|---|---|
| Provider Enumeration Date | 2006-10-25 |
| Last Updated Date | 2022-07-26 |
Provider Mailing Address Detail
| Address | 3310 Magnolia St |
|---|---|
| City | Orangeburg |
| State | South Carolina (SC) |
| Post Code | 291151466 |
| Phone Number | 8035316900 |
| Fax Number | 8035316907 |
Provider's Primary Taxonomy Detail
| Speciality | Podiatrist |
|---|---|
| Taxonomy | 213E00000X |
| Licence No | 519 |
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Definition: A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| PD5195 | SC | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Byron Jackson by the Centers for Medicare & Medicaid Services?
The Byron Jackson has been assigned the NPI (National Provider Identifier) 1265516447. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Byron Jackson?
The Byron Jackson is physically situated at 3310 Magnolia St, in the city of Orangeburg, state of SC, with the postal code 291151466.
What is Byron 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 Byron Jackson is Podiatrist, and the taxonomy classification code that categorizes this area of expertise is 213E00000X.
On what date did the Byron Jackson receive the assignment of its 1265516447 from the Centers for Medicare & Medicaid Services?
The Byron Jackson was issued its 1265516447 by the Centers for Medicare & Medicaid Services on 2006-10-25.
As of what date were the details related to Byron Jackson most recently updated or revised?
The information pertaining to Byron Jackson, including its address, specialty, and other relevant details, was last updated or revised on 2022-07-26.