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Individual
DR. ALLISON GIDDINGS JACKSON
Active
Individual
DR. ALLISON GIDDINGS JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
141246
NC
207V00000X
Obstetrics & Gynecology Physician
Primary
34054
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
340544
—
SC
01
—
AA81523922
MEDICARE PTAN
SC
Enumeration date
06/12/2007
Last updated
06/28/2021
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