| F Daniel Jackson, Md, Pa | |
|
130 Pennsylvania Ave Cumberland MD 21502-4236 | |
| (301) 759-2666 | |
| (301) 759-2841 |
| Full Name | F Daniel Jackson, Md, Pa |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 130 Pennsylvania Ave, Cumberland, Maryland |
| Authorized Official Name and Position | F Daniel Jackson (PRESIDENT) |
| Authorized Official Contact | 3017593817 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| F Daniel Jackson, Md, Pa Po Box 1692 Cumberland MD 21501-1692 Ph: (301) 759-3817 | F Daniel Jackson, Md, Pa 130 Pennsylvania Ave Cumberland MD 21502-4236 Ph: (301) 759-2666 |
| NPI Number | 1174532238 |
|---|---|
| Provider Enumeration Date | 08/07/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174532238 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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