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Mr. Charles Mitchell Jackson, BS,TSS
Clinic/Center in Collingdale, Pennsylvania
NPI 1427600378

Charles Mitchell Jackson is a Clinic/Center based in Wilmington, PA. Charles Mitchell Jackson practices in Collingdale, PA and has the professional credentials of BS,TSS. The NPI Number for Charles Mitchell Jackson is 1427600378 and holds a License No. (Pennsylvania).

The current practice location address for Charles Mitchell Jackson is 320 Macdade Blvd Ste 205, Collingdale, PA and can be reached out via phone at 610-522-4506.

Location: 320 Macdade Blvd Ste 205, Collingdale, PA, 19802-4086
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1427600378
Provider Name
Charles Mitchell Jackson
Credential
BS,TSS
Provider Entity Type
Individual
Gender
Male
Address
320 Macdade Blvd Ste 205, Collingdale, PA, 19802-4086
Phone Number
610-522-4506
Fax Number
Provider Enumeration Date
07/11/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
320 Macdade Blvd Ste 205
City
Collingdale
State
Pennsylvania
Zip
19023-1926
Phone Number
610-522-4506
Fax Number
person
Provider Business Mailing Address Details
Address
320 Macdade Blvd Ste 205
City
Collingdale
State
Pennsylvania
Zip
19023-1926
Phone Number
610-522-4506
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
(Pennsylvania)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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