person
James W Jackson JR., MD
Nephrology Physician in Statesboro, Georgia
NPI 1467547836

James W Jackson JR. is a Nephrology Physician based in Statesboro, GA and is specialized in Nephrology. James W Jackson JR. practices in Statesboro, GA and has the professional credentials of MD. The NPI Number for James W Jackson JR. is 1467547836 and holds a License No. 034372 (Georgia).

The current practice location address for James W Jackson JR. is 450 Georgia Ave, Statesboro, GA and can be reached out via phone at 912-489-4123 and via fax at 912-764-4977.

Location: 450 Georgia Ave, Statesboro, GA, 30458
person
Provider Profile Details
NPI Number
1467547836
Provider Name
James W Jackson JR.
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
450 Georgia Ave, Statesboro, GA, 30458
Phone Number
912-489-4123
Fax Number
912-764-4977
Provider Enumeration Date
10/03/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000569687F 05 GA
000569687D 05 GA
000569687T 05 GA
366237 01 GA WELLCARE
390006768 01 GA RAILROAD MEDICARE
000569687Q 05 GA
000569687R 05 GA
000569687V 05 GA
000569687X 05 GA
000569687E 05 GA
000569687G 05 GA
10063368 01 GA AMERIGROUP
000569687H 05 GA
000569687S 05 GA
institution
Provider Business Practice Location Address Details
Address
450 Georgia Ave
City
State
Zip
30458
Phone Number
912-489-4123
Fax Number
912-764-4977
person
Provider Business Mailing Address Details
Address
450 Georgia Ave
City
State
Zip
30458
Phone Number
912-489-4123
Fax Number
912-764-4977
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Nephrology
Taxonomy
License No.
034372 (Georgia)
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
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