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Dr. Michael S Jackson, MD
Family Medicine Physician in Rome, Georgia
NPI 1306830062

Michael S Jackson is a Family Medicine Physician based in Silver Creek, GA. Michael S Jackson practices in Rome, GA and has the professional credentials of MD. The NPI Number for Michael S Jackson is 1306830062 and holds a License No. 055376 (Georgia).

The current practice location address for Michael S Jackson is 506 Riverside Pkwy Ne, Rome, GA and can be reached out via phone at 706-266-2383. You can also correspond with Michael S Jackson through the mailing address at PO BOX 40, SILVER CREEK, GA - 30173-0040 (mailing address contact number: 706-266-9090).

Location: 506 Riverside Pkwy Ne, Rome, GA, 30173-0040
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1306830062
Provider Name
Michael S Jackson
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
506 Riverside Pkwy Ne, Rome, GA, 30173-0040
Phone Number
706-266-2383
Fax Number
Provider Enumeration Date
09/08/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000807474D 05 GA
1164745782 01 MEDICARE TYPE 2 ORGANIZATIONAL NPI
202I080352 01 MEDICARE PTAN
000807474B 05 GA
000807474C 05 GA
1306830062 01 MEDICARE NPI
institution
Provider Business Practice Location Address Details
Address
506 Riverside Pkwy Ne
City
Rome
State
Georgia
Zip
30161-2902
Phone Number
706-266-2383
Fax Number
person
Provider Business Mailing Address Details
Address
Po Box 40
City
Silver Creek
State
Georgia
Zip
30173-0040
Phone Number
706-266-9090
Fax Number
706-204-8797
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
055376 (Georgia)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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