Individual
DR. ALLISON GIDDINGS JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
101 HALTON VILLAGE CIR, GREENVILLE, SC 29607-6825
(864) 455-1600
(864) 286-5298
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
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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