Jackson, Harold Damon
Jackson, Harold Damon is an individual health care provider with primary practice located at 2665 N Decatur Rd Suite 430, Decatur GA 30033-6149. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Critical Care Medicine. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Jackson, Harold Damon can be contacted via phone (404) 294-4018.Contact Information
Primary practice address
2665 N Decatur Rd Suite 430
Decatur GA 30033-6149
Phone: (404) 294-4018
Fax: (404) 294-1359
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 032591 | Georgia |
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 032591 | Georgia |
Profile Details
| NPI number | 1164406252 |
|---|---|
| LBN Legal business name | Jackson, Harold Damon |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 1st, 2005 |
| Last updated | Jan 27th, 2010 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164406252 | NPPES |
| Georgia | Other | 1164406252 | NPI |
| Georgia | MEDICAID | 00421363D | NPI |
| Georgia | Other | 4365944 | NPI |
| Georgia | Other | 110089544 | NPI |
| Georgia | Other | 4806794 | NPI |
| Georgia | Other | 5931 | NPI |
| Georgia | Other | 0932200001 | NPI |
| Georgia | Other | 479614 | NPI |
| Georgia | Other | 6613810008 | NPI |
| Georgia | Other | 2598499 | NPI |
Popular Providers
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Waldman, Michael D
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Nathanson, Avery H
2665 N Decatur Rd Ste 230, Decatur GA 30033-6149 -
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Miller, David Alan
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Snyder, David Claude
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