Individual
DR. CHARLES FREDERICK JACKSON III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
591 REDMOND RD NW STE 103, ROME, GA 30165-1415
(706) 368-8500
(706) 307-4613
Mailing address
PO BOX 12938, C/O CLINIC MANAGEMENT, CALHOUN, GA 30703
(706) 602-7800
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
066188
GA
Other
Enumeration date
12/19/2007
Last updated
04/16/2026
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