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Kenneth G Jackson JR., MD
Family Medicine Physician in Clemson, South Carolina
NPI 1801183710

Kenneth G Jackson JR. is a Family Medicine Physician based in Columbia, SC. Kenneth G Jackson JR. practices in Clemson, SC and has the professional credentials of MD. The NPI Number for Kenneth G Jackson JR. is 1801183710 and holds a License No. LL33560 (South Carolina).

The current practice location address for Kenneth G Jackson JR. is 885 Tiger Blvd, Clemson, SC and can be reached out via phone at 864-654-2067 and via fax at 864-653-5926.

Location: 885 Tiger Blvd, Clemson, SC, 29202-3174
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1801183710
Provider Name
Kenneth G Jackson JR.
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
885 Tiger Blvd, Clemson, SC, 29202-3174
Phone Number
864-654-2067
Fax Number
864-653-5926
Provider Enumeration Date
06/30/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
335603 05 SC
institution
Provider Business Practice Location Address Details
Address
885 Tiger Blvd
City
Clemson
State
South Carolina
Zip
29631-1480
Phone Number
864-654-2067
Fax Number
864-653-5926
person
Provider Business Mailing Address Details
Address
885 Tiger Blvd
City
Clemson
State
South Carolina
Zip
29631-1480
Phone Number
864-654-2067
Fax Number
864-653-5926
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
LL33560 (South Carolina)
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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