Dr. Kathleen Marie Jackson
MD | Pediatrics | Female
Dr. Kathleen Marie Jackson, MD is a Charleston, South Carolina based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Dr. Kathleen Marie Jackson is
171 Ashley Ave, Charleston, South Carolina - 29425-2818. She can be contacted on phone at
843-792-1414.
Dr. Kathleen Marie Jackson is a sole proprietor of her business.
NPI number (Unique professional ID) for Dr. Kathleen Marie Jackson is
1801323993 which was assigned by NPPES on 19 May, 2017 and it was last updated on 16 Mar, 2021.
Dr. Kathleen Marie Jackson license number is
84014 for Pediatrics (208000000X) in South Carolina.
Dr. Kathleen Marie Jackson is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Dr. Kathleen Marie Jackson basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Dr. Kathleen Marie Jackson |
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| Credential : | MD |
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| Gender : | Female |
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Business Address:
Dr. Kathleen Marie Jackson address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 171 Ashley Ave
Charleston, SC, 29425-2818
United States |
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| Phone Number : | 843-792-1414 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1801323993 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 19 May, 2017 |
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| Last Updated On : | 16 Mar, 2021 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Kathleen Marie Jackson are as mentioned. Primary taxonomy code for Dr. Kathleen Marie Jackson, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 84014 | SC |
| 390200000X | Student in an Organized Health Care Education/Training Program | No | | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | Po Box 751461
Charlotte, NC, 28275-1461
United States |
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| Phone Number : | 843-792-6200 |
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Business Location:
Patients can refer following map for directions to
Dr. Kathleen Marie Jackson practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.