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Mia Leigh Jackson, MD
Diagnostic Radiology Physician in St Petersburg, Florida
NPI 1861679870

Mia Leigh Jackson is a Diagnostic Radiology Physician based in Atlanta, FL and is specialized in Diagnostic Radiology. Mia Leigh Jackson practices in St Petersburg, FL and has the professional credentials of MD. The NPI Number for Mia Leigh Jackson is 1861679870 and holds a License No. 002024 (Florida).

The current practice location address for Mia Leigh Jackson is 2191 9Th Ave N Ste 120, St Petersburg, FL and can be reached out via phone at 727-954-6519 and via fax at 727-954-6524.

Location: 2191 9Th Ave N Ste 120, St Petersburg, FL, 30374-8817
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1861679870
Provider Name
Mia Leigh Jackson
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
2191 9Th Ave N Ste 120, St Petersburg, FL, 30374-8817
Phone Number
727-954-6519
Fax Number
727-954-6524
Provider Enumeration Date
01/22/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2191 9Th Ave N Ste 120
City
St Petersburg
State
Florida
Zip
33713-7147
Phone Number
727-954-6519
Fax Number
727-954-6524
person
Provider Business Mailing Address Details
Address
2191 9Th Ave N Ste 120
City
St Petersburg
State
Florida
Zip
33713-7147
Phone Number
727-954-6519
Fax Number
727-954-6524
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
002024 (Georgia)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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