JACKSON FAMILY PRACTICE INC. NPI 1699881581

NPI Information

JACKSON FAMILY PRACTICE, INC. is a family medicine in North Canton, OH. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. JACKSON FAMILY PRACTICE, INC. NPI is 1699881581. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

7072 MEARS GATE DR. NW
NORTH CANTON, OH
ZIP 44720-850
Phone: (330) 966-1319
Fax: (330) 966-1321

The provider's authorized official is Stanley R Anderson .
The authorized official title is President and has the following contact phone number (330) 966-1319.

The CLIA number assigned to this NPI record is 36D0701796 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 8/22/2006 and was last updated on 11/21/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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