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NPI Profile for Dr KATHLEEN M JACKSON in GREENVILLE, SC.
A pediatrician who has special qualifications to manage emergencies in infants and children.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Pediatric Emergency Medicine |
2080P0204X | 37 | Physician/Pediatric Medicine | |
Pediatrics |
208000000X | 37 | Physician/Pediatric Medicine | |
Student in an Organized Health Care Education/Training Program |
390200000X |
| NPI # | 1801323993 |
|
| Status | Active | |
| Credentials | MD | |
| Entity | Individual | |
| Enumeration date | 05/19/2017 | |
| Last updated | 07/12/2023 - About 3 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
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|
| Hospital affiliation(s) | Not Available |
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KATHLEEN M JACKSON
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KATHLEEN M JACKSON, MD