Individual provider · Type 1 NPI

Charles Mitchell Jackson, B.S., TSS

Clinic/Center · Collingdale, PA

NPI number 1427600378 Active

Practice location

320 Macdade Blvd Ste 205
Collingdale, PA 19023-1926

Call (610) 522-4506 Map

Mailing address

512 W 22nd St Apt 2
Wilmington, DE 19802-4086

Specialties and licenses

TaxonomyCodeLicense
Clinic/Center Primary 261Q00000XNone listed

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

9 other providers at this address

About NPI 1427600378

Charles Mitchell Jackson, B.S., TSS's National Provider Identifier is 1427600378, issued on Jul 11, 2019. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Collingdale, PA. The record was last updated on Jul 11, 2019.