Individual provider · Type 1 NPI

Kathleen Marie Jackson, MD

Pediatric Emergency Medicine (Pediatrics) Physician · Greenville, SC

NPI number 1801323993 Active

Practice location

701 Grove Rd Fl 1
Greenville, SC 29605-4210

Call (864) 455-7899 Map

Fax (864) 455-5474

Mailing address

300 E Mcbee Ave Fl 4
Greenville, SC 29601-2842

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Pediatrics Physician 208000000X84014 (SC)
Pediatric Emergency Medicine (Pediatrics) Physician Primary 2080P0204X84014 (SC)

Pediatric Emergency Medicine (Pediatrics) Physician: A pediatrician who has special qualifications to manage emergencies in infants and children.

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About NPI 1801323993

Kathleen Marie Jackson, MD's National Provider Identifier is 1801323993, issued on May 19, 2017. The primary taxonomy on file is Pediatric Emergency Medicine (Pediatrics) Physician (2080P0204X), and the practice location is in Greenville, SC. The record was last updated on Jul 12, 2023.