Most Relevant Information
Provider Data
| NPI Number: | 1003819111 |
| Provider Name: | JAMES D JACKSON M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 207R00000X |
| Specialty: | Internal Medicine |
| License Number: | 30485 |
Most Important Dates
| Enumeration Date: | 05/23/2005 |
| Last Updated: | 03/22/2021 |
Provider Practice Location
1285 SIMS ST
GAINESVILLE
GA
305013851
Practice Location Phone/Fax
| Phone: | 7702198583 |
| Fax: |
Provider Mailing Location
PO BOX 742616
ATLANTA
GA
303742616
Provider Mailing Phone/Fax
| Phone: | 7702198420 |
| Fax: |
Suggested EMR
Internist EMR