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Contact Information

LANIER B JACKSON, MD
171 ASHLEY AVE
CHARLESTON, SC29425-8908
 Phone: 843-792-1414
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical Cardiac Electrophysiology

207RC0001X 11 Physician/Internal Medicine
 

Pediatric Cardiology

2080P0202X 37 Physician/Pediatric Medicine
 

Pediatrics

208000000X 37 Physician/Pediatric Medicine
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for LANIER B JACKSON · (Male)

NPI # 1982862389
Status Active
Credentials MD
Entity Individual
Enumeration date 06/02/2008
Last updated 02/18/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • SC License # 33956
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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