Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. CHARLES MITCHELL JACKSON, B.S., TSS
Active Sole ProprietorMR. CHARLES MITCHELL JACKSON, B.S., TSS is a Clinic/Center healthcare provider located in COLLINGDALE, Pennsylvania. NPI 1427600378 is currently active in the NPPES registry. Verify at CMS.
Clinic/Center · COLLINGDALE, PA
Registration Details
- NPI Number
- 1427600378
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 11, 2019 (7.1104835624035 yrs)
- Last Updated
- Jul 11, 2019
- Sole Proprietor
- Yes
Practice Information
- Address
-
320 MACDADE BLVD STE 205COLLINGDALE, PA, 190231926Browse PA providers · Browse ZIP 19023
- Phone
- 6105224506
- Primary Specialty
-
Clinic/Center
261Q00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.