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Contact Information

HAROLD D JACKSON, MD
110 HARMONY CROSSING, STE 2
EATONTON, GA31024
 Phone: 706-909-8098
 Fax: 844-749-3901
 Website: https://www.nimbushealth.com/locations/eatonton-georgia
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pulmonary Disease

207RP1001X 11 Physician/Internal Medicine
 

Critical Care Medicine

207RC0200X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for HAROLD D JACKSON · (Male)

NPI # 1164406252
Status Active
Credentials MD
Entity Individual
Enumeration date 12/01/2005
Last updated 01/27/2010 - About 16 years ago
Sole proprietor 1 No
Identifiers
  • GA License # 032591
  • GA Medicaid 00421363D
  • Other 4365944 AETNA
  • Other 6613810008 CIGNA
  • Other 2598499 GHI
  • Other 4806794 UNITED HEALTHCARE
  • GA Other 479614 BLUE CROSS BLUE SHIELD
  • GA Other 5931 KAISER
  • GA Other 1164406252 NPI
  • GA Other 110089544 RAILROAD MEDICARE
  • GA Other 0932200001 WORKERS COMPENSATION
Hospital affiliation(s)
  • DEKALB MEDICAL CENTER AT HILLANDALE - (Acute Care)
    2801 DEKALB MEDICAL PARKWAY
    LITHONIA, GA 30058
  • GOOD SAMARITAN HOSPITAL INC - (Critical Access)
    5401 LAKE OCONEE PARKWAY
    GREENSBORO, GA 30642
  • NEWTON MEDICAL CENTER - (Acute Care)
    5126 HOSPITAL DRIVE NE
    COVINGTON, GA 30014
  • OCONEE REGIONAL MEDICAL CENTER - (Acute Care)
    821 N COBB STREET POST OFFICE BOX 690
    MILLEDGEVILLE, GA 31061
  • ROCKDALE MEDICAL CENTER - (Acute Care)
    1412 MILSTEAD AVENUE, NE
    CONYERS, GA 30012
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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