Individual
DR. MERCY PREETHI JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6740 ALEXANDER BELL DR STE 300, COLUMBIA, MD 21046-2248
(410) 564-0000
(410) 564-0032
Mailing address
6740 ALEXANDER BELL DR # 300, COLUMBIA, MD 21046-2248
(410) 564-0000
(410) 564-0032
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0063166
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0018
CAREFIRST-DC
MD
05
—
4095448 00
—
MD
Enumeration date
04/05/2006
Last updated
07/20/2023
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