Mary Tallmadge Jackson M.D.

NPI 1043296882 - Obstetrics & Gynecology - 207V00000X

NPI Details
NPI 1043296882
Gender Female
Enumeration Date 12/22/2005
Last Updated 02/16/2016
Entity Type Individual
Active Over 10 years ago
Practice Location
120 CORBETT CANYON RD
ARROYO GRANDE CA, 93420-5151, US
Phone (805) 459-0529
Fax (805) 474-8555
Business Location
120 CORBETT CANYON RD
ARROYO GRANDE CA, 93420-5151, US
Phone (805) 474-8518
Fax (805) 474-8555
Toxanomy
Taxonomy Code 207V00000X
License State Hawaii
License Number 6198
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According to our database, Dr. Mary Tallmadge Jackson M.D. NPI is 1043296882, taxonomy code is 207V00000X and license number is 6198, license state is located at Hawaii. Mary Tallmadge Jackson M.D. physically located at 120 Corbett Canyon Rd, Arroyo Grande CA, 93420-5151. NPI Number Mary Tallmadge Jackson M.D. has the Individual type.

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1043296882 NPI number is provided on an as is basis without warranty of any kind. 1043296882 is maintained by the National Plan & Provider Enumeration System. The contents of Mary Tallmadge Jackson M.D. are for informational purposes only.