institution
Brian D. Jackson, Dpm, Llc
Foot Surgery Podiatrist in Columbia, Tennessee
NPI 1386836252

Brian D. Jackson, Dpm, Llc is a Foot Surgery Podiatrist based in Columbia, TN and is specialized in Foot Surgery. Brian D. Jackson, Dpm, Llc practices in Columbia, TN. The NPI Number for Brian D. Jackson, Dpm, Llc is 1386836252 and holds a License No. 436 (Tennessee).

The current practice location address for Brian D. Jackson, Dpm, Llc is 1215 Hatcher Ln, Columbia, TN and can be reached out via phone at 931-380-0353.

Location: 1215 Hatcher Ln, Columbia, TN, 38401-3531
institution
Provider Profile Details
NPI Number
1386836252
Provider Name
Brian D. Jackson, Dpm, Llc
Credential
Provider Entity Type
Organization
Address
1215 Hatcher Ln, Columbia, TN, 38401-3531
Phone Number
931-380-0353
Fax Number
Provider Enumeration Date
08/15/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
DC1001 01 TN RAILROAD MEDICARE GROUP
3414014 01 CIGNA
3352132 01 MEDICARE GROUP PIN
2740069 01 UNITED HEALTHCARE
4042682 01 BLUE CROSS OF TN
480034585 01 RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
1215 Hatcher Ln
City
State
Zip
38401-3531
Phone Number
931-380-0353
Fax Number
person
Provider Business Mailing Address Details
Address
1215 Hatcher Ln
City
State
Zip
38401-3531
Phone Number
931-380-0353
Fax Number
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot Surgery
Taxonomy
License No.
436 (Tennessee)
Definition
Definition to come...
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