Organization
F DANIEL JACKSON, MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. F DANIEL JACKSON M.D. (PRESIDENT)
(301) 759-3817
Entity
Organization
Contact information
Practice address
32 CORPORATE DR, GRANTSVILLE MEDICAL CENTER, GRANTSVILLE, MD 21536-1259
(301) 895-3922
(301) 895-4167
Mailing address
PO BOX 1692, CUMBERLAND, MD 21501-1692
(301) 759-3817
(301) 759-3286
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
08/03/2006
Last updated
08/22/2020
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