Individual
DR. MARGARETIA L JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4910 MASSACHUSETTS AVE NW, SUITE 217, WASHINGTON, DC 20016-4300
(202) 244-1553
(202) 244-2192
Mailing address
4910 MASSACHUSETTS AVE NW, SUITE 217, WASHINGTON, DC 20016-4300
(202) 244-1553
(202) 244-2192
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD11131
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD11131
MEDICAL LICENSE
DC
Enumeration date
01/04/2007
Last updated
07/08/2007
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