MR. Charles Mitchell Jackson, B.S., TSS
NPI #1427600378 in Collingdale, Pennsylvania
Provider Information
- NPI Number
- 1427600378
- Entity Type
- Individual
- Name
- MR. Charles Mitchell Jackson, B.S., TSS
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Clinic/Center
- Credential
- B.S., TSS
- Enumeration Date
- Jul 11, 2019
- Last Updated
- Jul 11, 2019
Practice Location
- Address
- 320 MACDADE BLVD STE 205
- City
- Collingdale
- State
- Pennsylvania
- ZIP Code
- 19023-1926
- Phone
- (610) 522-4506
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
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