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IndividualActive

David Jackson Jr.

PTA

Physical Therapy Assistant

NPI: 1104098904Lake City, South Carolina, 29560(843) 374-6198Male

About David Jackson Jr.

David Jackson Jr., PTA, is a male healthcare professional specializing in Physical Therapy Assistant, registered under National Provider Identifier (NPI) number 1104098904. Their primary practice is located at 258 N RON MCNAIR BLVD, Lake City, South Carolina 29560.

Patients can reach the office at (843) 374-6198. David Jackson Jr. has been NPI-registered since 2008.

Doctor Details

Identity & Credentials

NPI Number
1104098904
Entity Type
Individual
First Name
David
Last Name
Jackson Jr.
Credential
PTA
Gender
Male
Sole Proprietor
No
Status
active

Primary Practice Location

Address
258 N RON MCNAIR BLVD
City
Lake City
State
South Carolina
ZIP
29560-2462
Country
United States
Phone
(843) 374-6198
Fax
(843) 374-6180

Specialty & Taxonomy

Primary Specialty
Physical Therapy Assistant
Classification
Physical Therapy Assistant
Taxonomy Code
225200000X

NPI Registration

Enumeration Date
Last Updated
Certification Date

Mailing Address

Address
258 N RON MCNAIR BLVD
City
LAKE CITY
State
SC
ZIP
295602462

Medicare Enrollment

Medicare Enrolled
No
Can Order/Refer
No
Telehealth
No
Excluded
No

Frequently Asked Questions

What is David Jackson Jr.'s NPI number?
David Jackson Jr.'s National Provider Identifier (NPI) is 1104098904. An NPI is a unique 10-digit identification number issued by the Centers for Medicare & Medicaid Services (CMS) to healthcare providers in the United States.
What does David Jackson Jr. specialize in?
David Jackson Jr. specializes in Physical Therapy Assistant.
Where is David Jackson Jr. located?
David Jackson Jr. practices at 258 N RON MCNAIR BLVD, Lake City, South Carolina 29560. You can reach them by phone at (843) 374-6198.
Does David Jackson Jr. accept Medicare?
Based on available data, David Jackson Jr. is not currently enrolled in the Medicare program.
Does David Jackson Jr. offer telehealth or virtual visits?
David Jackson Jr. does not currently offer telehealth services. In-person visits are required at their practice location.

What is an NPI Number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to healthcare providers in the United States by the Centers for Medicare & Medicaid Services (CMS). Required under HIPAA, every healthcare provider who transmits health information electronically must have an NPI. The NPI for David Jackson Jr. is 1104098904.