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Jackson Family Medicine, Llc
Primary Care Clinic/Center in Waldorf, Maryland
NPI 1780825224

Jackson Family Medicine, Llc is a Primary Care Clinic/Center based in Upper Marlboro, MD and is specialized in Primary Care. Jackson Family Medicine, Llc practices in Waldorf, MD. The NPI Number for Jackson Family Medicine, Llc is 1780825224 and holds a License No. H0058218 (Maryland).

The current practice location address for Jackson Family Medicine, Llc is 10 Saint Patricks Dr, Waldorf, MD and can be reached out via phone at 301-885-3350 and via fax at 301-885-0061.

Location: 10 Saint Patricks Dr, Waldorf, MD, 20792-7876
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1780825224
Provider Name
Jackson Family Medicine, Llc
Credential
Provider Entity Type
Organization
Address
10 Saint Patricks Dr, Waldorf, MD, 20792-7876
Phone Number
301-885-3350
Fax Number
301-885-0061
Provider Enumeration Date
03/12/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
10 Saint Patricks Dr
City
Waldorf
State
Maryland
Zip
20603-4527
Phone Number
301-885-3350
Fax Number
301-885-0061
person
Provider Business Mailing Address Details
Address
10 Saint Patricks Dr
City
Waldorf
State
Maryland
Zip
20603-4527
Phone Number
301-885-3350
Fax Number
301-885-0061
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
H0058218 (Maryland)
Definition
Definition to come...
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