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Contact Information

ALOYSIUS JACKSON, MD
301 TURNER MCCALL BLVD
ROME, GA30165
 Phone: 706-509-4340
 Fax: 706-291-2147
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hospitalist

208M00000X
 

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for ALOYSIUS JACKSON · (Male)

NPI Number 1477821155
Status Active
Credentials MD
Entity Individual
Enumeration date 12/08/2011
Last updated 12/28/2020 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • GA License # 77026
  • IL License # 134079
  • MO License # 2018004381
  • SC License # 37435
  • TX License # Q0769
Hospital affiliation(s)
  • LAKE REGIONAL HEALTH SYSTEM - (Acute Care)
    54 HOSPITAL DRIVE
    OSAGE BEACH, MO 65065
  • MERCY HOSPITAL JOPLIN - (Acute Care)
    2817 ST JOHNS BLVD
    JOPLIN, MO 64804
  • NORTH FULTON REGIONAL HOSPITAL - (Acute Care)
    3000 HOSPITAL BOULEVARD
    ROSWELL, GA 30076
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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