Jackson, Joseph M
Jackson, Joseph M is an individual health care provider with primary practice located at 2701 Meredyth Dr , Albany GA 31707-2267. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Jackson, Joseph M can be contacted via phone (229) 883-7010.Contact Information
Primary practice address
2701 Meredyth Dr
Albany GA 31707-2267
Phone: (229) 883-7010
Fax: (229) 435-4022
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 039374 | Georgia |
Profile Details
| NPI number | 1811980352 |
|---|---|
| LBN Legal business name | Jackson, Joseph M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 30th, 2005 |
| Last updated | Dec 20th, 2022 - about 2 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 | 1811980352 | NPPES |
| Georgia | MEDICAID | 00706417E |
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