Freeman R Jackson JR.
Anesthesiologist
600 Green Valley Road Suite 304
Greensboro
, North Carolina 27408
Freeman R Jackson JR.
Anesthesiologist
600 Green Valley Road Suite 304
Greensboro
, North Carolina 27408
(336) 282-4840
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About
Features
Specialties
- Anesthesiologist
Languages spoken
- English
Location
First Address
- Freeman R Jackson JR.
- 600 Green Valley Road 304
- Greensboro, NC
- Zip : 27408
- Phone : (336) 282-4840
Second Address
- Freeman R Jackson JR.
- 600 Green Valley Road Suite 304
- Greensboro, NC
- Zip : 27408
- Phone : (336) 282-4840
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207L00000X | Anesthesiologist | 2009-00104 | NC |
National Provider Identifier
| NPI | 1013131994 |
|---|---|
| Provider Name | Freeman R Jackson JR. |
| First Address | Greensboro, NC 27408 |
| Second Address | Greensboro, NC 27408 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 12/04/2007 |
| Last Update Date | 21/11/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| P00969101 | RAILROAD-MEDICARE (01) | NC |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.