Individual
DR. DAVID SPENCER JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11055 LITTLE PATUXENT PKWY, SUITE 205, COLUMBIA, MD 21044-2896
(410) 740-0789
(410) 740-7024
Mailing address
7580 BUCKINGHAM BLVD STE 220, HANOVER, MD 21076-3210
(410) 729-5100
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
D35217
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0149212
CIGNA PIN
MD
01
—
018410
JHHC PROVIDER NUMBER
MD
01
—
0477972
AETNA CAPITATED
MD
01
—
060041579
RR MEDICARE
MD
01
—
318934
MAMSI SPECIALIST
MD
01
—
3509-0006
CAREFIRST BLUECHOICE
MD
01
—
398140-03
CAREFIRST MD RENDERING
MD
01
—
4238639
AETNA FEE FOR SERVICE
MD
05
—
478471500
—
MD
01
—
P528953
CAREFIRST MPOS
MD
Enumeration date
08/10/2005
Last updated
08/22/2019
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