Jackson, William M.

Jackson, William M. is an individual health care provider with primary practice located at 955 Ribaut Rd , Beaufort SC 29902-5441. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is his primary health care specialty. Jackson, William M. can be contacted via phone (843) 522-5130.

Contact Information

Primary practice address
955 Ribaut Rd Beaufort SC 29902-5441
Phone: (843) 522-5130
Fax: (843) 522-5538
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 15477 South Carolina
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X 15477 South Carolina

Profile Details

NPI number 1205873395
LBN Legal business name Jackson, William M.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2006
Last updated Dec 7th, 2023 - about last year

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205873395 NPPES
South Carolina MEDICAID 154772

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