Charles Steven Jackson in Greenville - Physician Assistant
Charles Steven Jackson - NPI 1649230715
Charles Steven Jackson is a Physician Assistant in Greenville, South Carolina. Charles Steven Jackson practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Charles Steven Jackson is 1649230715. The last update date is 2021-05-11.
Charles Steven Jackson's current location address is 300 E Mcbee Ave Fl 4, Greenville, South Carolina. You can contact this provider via phone number 8647976306. The mailing address for Charles Steven Jackson is 300 E Mcbee Ave Fl 4, Greenville, South Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Charles Steven Jackson |
|---|---|
| Address | 300 E Mcbee Ave Fl 4, Greenville, South Carolina |
| Phone Number | 8647976306 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1649230715 |
|---|---|
| Provider Enumeration Date | 2006-03-24 |
| Last Updated Date | 2021-05-11 |
Provider Mailing Address Detail
| Address | 300 E Mcbee Ave Fl 4 |
|---|---|
| City | Greenville |
| State | South Carolina (SC) |
| Post Code | 296012842 |
| Phone Number | 8647976306 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 377 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 990013229 | SC | RR MEDICARE | |
| 2217PA | SC | -- | |
| 0041PA | SC | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Charles Steven Jackson by the Centers for Medicare & Medicaid Services?
The Charles Steven Jackson has been issued the NPI (National Provider Identifier) 1649230715, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Charles Steven Jackson is physically located?
The Charles Steven Jackson is physically situated at the following address: 300 E Mcbee Ave Fl 4, Greenville, SC, 296012842.
What is Charles Steven Jackson's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Charles Steven Jackson is Physician Assistant, and the taxonomy code that categorizes this field of expertise is 363A00000X.
On what date did the Charles Steven Jackson receive its 1649230715 assignment from the Centers for Medicare & Medicaid Services?
The Charles Steven Jackson was assigned its 1649230715 by the Centers for Medicare & Medicaid Services on 2006-03-24.
As of what date were the Charles Steven Jackson's details last updated?
The information pertaining to the Charles Steven Jackson, including its address, specialty, and other details, was most recently updated on 2021-05-11.
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