Mr Cederic Phillauder Jackson, RN MSN is a
Registered Nurse based in Atl, Georgia. Mr Cederic Phillauder Jackson is licensed to practice in Georgia (license number RN066374) and his current practice location is
99 Jessie Hill Jr Drive, Atl, Georgia. He can be reached at his office (for appointments etc.) via phone at
(404) 730-1418.
NPI number for Mr Cederic Phillauder Jackson is 1629140462 and his current mailing address is 99 Jesse Hill Jr Drive Se, Room 402, Atlanta, Georgia. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1629140462.
Provider's Profile
| Full Name | Mr Cederic Phillauder Jackson |
|---|
| Gender | Male |
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| Speciality | Registered Nurse |
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| Location | 99 Jessie Hill Jr Drive, Atl, Georgia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1629140462
- Provider Enumeration Date: 11/15/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mr Cederic Phillauder Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1629140462 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163W00000X | Registered Nurse | RN066374 (Georgia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Cederic Phillauder Jackson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Cederic Phillauder Jackson, RN MSN
99 Jesse Hill Jr Drive Se, Room 402,
Atlanta, GA 30303
Ph: (404) 730-1418 | Mr Cederic Phillauder Jackson, RN MSN
99 Jessie Hill Jr Drive,
Atl, GA 30303
Ph: (404) 730-1418 |
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