Jackson Family Medicine, LLC

NPI #1780825224 in Waldorf, Maryland

Provider Information

NPI Number
1780825224
Entity Type
Organization
Organization Name
Jackson Family Medicine, LLC
Primary Specialty
Clinic/Center - Primary Care
Enumeration Date
Mar 12, 2009
Last Updated
Mar 12, 2009

Practice Location

Address
10 SAINT PATRICKS DR
Address 2
#502
ZIP Code
20603-4527
Phone
(301) 885-3350

Authorized Official

Name
DR. DAINTY J JACKSON, DO.,MPA.,MT.,ASCP.
Title
DOCTOR
Phone
(301) 885-3350

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Primary CarePrimary Care

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