F Daniel Jackson, Md, Pa | |
32 Corporate Dr Grantsville Medical Center Grantsville MD 21536-1259 | |
(301) 895-3922 | |
(301) 895-4167 |
Full Name | F Daniel Jackson, Md, Pa |
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Speciality | Clinic/center - Primary Care |
Location | 32 Corporate Dr, Grantsville, 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 |
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F Daniel Jackson, Md, Pa Po Box 1692 Cumberland MD 21501-1692 Ph: (301) 759-3817 | F Daniel Jackson, Md, Pa 32 Corporate Dr Grantsville Medical Center Grantsville MD 21536-1259 Ph: (301) 895-3922 |
NPI Number | 1326056904 |
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Provider Enumeration Date | 08/03/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1326056904 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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F. Daniel Jackson, Md, Pa Dba Affiliated Physicians Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 32 Corporate Drive, Grantsville Medical Center, Grantsville, MD 21536 Phone: 301-895-3922 Fax: 301-895-4167 |