Dr Mary Tallmadge Jackson, MD | |
120 Corbett Canyon Rd, Arroyo Grande, CA 93420-5151 | |
(805) 459-0529 | |
(805) 474-8555 |
Full Name | Dr Mary Tallmadge Jackson |
---|---|
Gender | Female |
Speciality | Obstetrics & Gynecology |
Location | 120 Corbett Canyon Rd, Arroyo Grande, California |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043296882 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | G56252 (California) | Primary |
207V00000X | Obstetrics & Gynecology | 6198 (Hawaii) | Secondary |
Mailing Address | Practice Location Address |
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Dr Mary Tallmadge Jackson, MD 120 Corbett Canyon Rd, Arroyo Grande, CA 93420-5151 Ph: (805) 474-8518 | Dr Mary Tallmadge Jackson, MD 120 Corbett Canyon Rd, Arroyo Grande, CA 93420-5151 Ph: (805) 459-0529 |
Dr. Neil John Correia, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 562 Camino Mercado, Arroyo Grande, CA 93420 Phone: 805-410-8971 Fax: 805-291-8003 | |
Jane S. Lee, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1057 E Grand Ave, Arroyo Grande, CA 93420 Phone: 805-270-1700 Fax: 805-481-7097 |