Organization · Type 2 NPI

Jackson Family Medicine, LLC

Primary Care Clinic/Center · Waldorf, MD

NPI number 1780825224 Active

Practice location

10 Saint Patricks Dr, #502
Waldorf, MD 20603-4527

Fax (301) 885-0061

Mailing address

PO Box 7876
Upper Marlboro, MD 20792-7876

Specialties and licenses

TaxonomyCodeLicense
Primary Care Clinic/Center Primary 261QP2300XH0058218 (MD)

Primary Care Clinic/Center: Definition to come...

22 other providers at this address

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About NPI 1780825224

Jackson Family Medicine, LLC's National Provider Identifier is 1780825224, issued on Mar 12, 2009. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Waldorf, MD. The record was last updated on Mar 12, 2009.