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Ms. Lisa Chanel Jackson, MD
Obstetrics & Gynecology Physician in Beaufort, South Carolina
NPI 1912923996

Lisa Chanel Jackson is a Obstetrics & Gynecology Physician based in Ridgeland, SC. Lisa Chanel Jackson practices in Beaufort, SC and has the professional credentials of MD. The NPI Number for Lisa Chanel Jackson is 1912923996 and holds a License No. 036113699 (South Carolina).

The current practice location address for Lisa Chanel Jackson is 1264 Ribaut Rd Ste 200, Beaufort, SC and can be reached out via phone at 843-524-2466.

Location: 1264 Ribaut Rd Ste 200, Beaufort, SC, 29936-2605
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1912923996
Provider Name
Lisa Chanel Jackson
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1264 Ribaut Rd Ste 200, Beaufort, SC, 29936-2605
Phone Number
843-524-2466
Fax Number
Provider Enumeration Date
07/14/2006
Last Update Date
09/14/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
036113699 05 IL
institution
Provider Business Practice Location Address Details
Address
1264 Ribaut Rd Ste 200
City
Beaufort
State
South Carolina
Zip
29902-6127
Phone Number
843-524-2466
Fax Number
person
Provider Business Mailing Address Details
Address
1264 Ribaut Rd Ste 200
City
Beaufort
State
South Carolina
Zip
29902-6127
Phone Number
843-524-2466
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
-
Taxonomy
207V00000X
License No.
036113699 (Illinois)
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
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