01D0707445 CLIA NUMBER - KEVIN L JACKSON MD

Laboratory Demographics

CLIA Number: 01D0707445

Facility Name: KEVIN L JACKSON MD

Facility Address:
2430 VILLAGE PROFESSIONAL DRIVE
OPELIKA, AL
ZIP 36801
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Facility Phone Number: (334) 821-6300

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

NPI Number: 1316938517

Taxonomy: 207R00000X - Internal Medicine
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

CLIA Record

Field Name	Field Value
CLIA Number	01D0707445
LAB Type	PHYSICIAN OFFICE
Facility Name	KEVIN L JACKSON MD
Street	2430 VILLAGE PROFESSIONAL DRIVE
City	OPELIKA
State	AL
ZIP	36801
Phone	(334) 821-6300

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This page was last updated on: 3/23/2022