Katlin O'hara Jackson
Foot Surgery Foot & Ankle Surgery Primary Podiatric Medicine
1190 Highway 9 Byp W
Lancaster
, South Carolina 29720-1709
Katlin O'hara Jackson
Foot Surgery Foot & Ankle Surgery Primary Podiatric Medicine
1190 Highway 9 Byp W
Lancaster
, South Carolina 29720-1709
(704) 886-1918
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About
Features
Specialties
- Primary Podiatric Medicine
- Foot & Ankle Surgery
- Foot Surgery
Languages spoken
- English
Location
First Address
- Katlin O'hara Jackson
- 1022 Lee Ann Dr Ne
- Concord, NC
- Zip : 28025-2911
- Phone : (704) 886-1918
Second Address
- Katlin O'hara Jackson
- 1190 Highway 9 Byp W
- Lancaster, SC
- Zip : 29720-1709
- Phone : (803) 285-1411
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Is Katlin O'hara Jackson a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 213EP1101X | Primary Podiatric Medicine | 693 | NC |
| N | 213ES0103X | Foot & Ankle Surgery | 693 | NC |
| N | 213ES0131X | Foot Surgery | 693 | NC |
National Provider Identifier
| NPI | 1437503422 |
|---|---|
| Provider Name | Katlin O'hara Jackson |
| First Address | Concord, NC 28025-2911 |
| Second Address | Lancaster, SC 29720-1709 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/04/2016 |
| Last Update Date | 16/04/2021 |
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.