| Dr Joseph L Jackson Sr, MD | |
|
305 Jones Ave, Waynesboro, GA 30830-1510 | |
| (706) 554-5147 | |
| (706) 554-6111 |
| Full Name | Dr Joseph L Jackson Sr |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 305 Jones Ave, Waynesboro, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366483356 | NPI | - | NPPES |
| 080028937 | Other | GA | PALMETTO GBA RAILROAD |
| 000172213A | Medicaid | GA | |
| 080083685 | Other | GA | PALMETTO GBA RAILROAD |
| 000172213C | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 013980 (Georgia) | Primary |
| Entity Name | Medical Specialists |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063459899 PECOS PAC ID: 0840108478 Enrollment ID: O20040608000199 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Joseph L Jackson Sr, MD 305 Jones Ave, Waynesboro, GA 30830-1510 Ph: (706) 554-5147 | Dr Joseph L Jackson Sr, MD 305 Jones Ave, Waynesboro, GA 30830-1510 Ph: (706) 554-5147 |
Dr. Joseph L Jackson Jr., M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 305 Jones Ave, Waynesboro, GA 30830 Phone: 706-554-5147 Fax: 706-554-6111 | |
Bonnie P Jenkins, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 201 Dogwood Dr, Waynesboro, GA 30830 Phone: 706-437-0046 Fax: 706-437-0546 | |
Dr. Johnny F Christian, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 305 Jones Ave, Waynesboro, GA 30830 Phone: 706-554-5147 Fax: 706-554-6111 |