Allen B Jackson (NPI# 1902866965, PAC ID# 1759349376) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1902866965 |
| PAC ID by PECOS | 1759349376 |
| Professional Enrollment ID | I20050105000010 |
| Full Name | Allen B Jackson |
| Organization Legal Name | LIBERTY DOCTORS LLC |
| Address |
2175 Ashley Phosphate Rd D North Charleston SC 29406-4181 |
| Phone Number | 8437640770 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF SOUTH CAROLINA SCHOOL OF MEDICINE |
| Graduation Year | 1986 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 0840466017 |
| Number of Group Practice Members | 37 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 420087 | ROPER HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 418 Folly Rd A and B, Charleston, SC 29412-2625 | 8432258320 | LIBERTY DOCTORS LLC |
| 2175 Ashley Phosphate Rd D, North Charleston, SC 29406-4181 | 8437640770 | LIBERTY DOCTORS LLC |
| Organization Legal Name | LIBERTY DOCTORS LLC |
| Physicians | 41 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Svetlana C Stuck | Physician Assistant | Liberty Doctors LLC | 5880 Rivers Ave, North Charleston, SC 29406-6053 |
| Esther Perlmutter | Nurse Practitioner | Liberty Doctors LLC | 21 Gamecock Ave, Charleston, SC 29407-3368 |
| Victoria M Kennedy | Nurse Practitioner | Liberty Doctors LLC | 418 Folly Rd A and B, Charleston, SC 29412-2625 |
| John J Forney | Family Medicine | Liberty Doctors LLC | 8761 Dorchester Rd, Suite 230, North Charleston, SC 29420-7322 |
| Patricia A Campbell | Family Medicine | Liberty Doctors LLC | 100 Springhall Dr, Goose Creek, SC 29445-5335 |
| Donald P Hurley | Family Medicine | Liberty Doctors LLC | 1483 Tobias Gadson Blvd, Suite 206, Charleston, SC 29407-4796 |
| Jeffrey M Akhtar | Internal Medicine | Liberty Doctors LLC | 418 Folly Rd A and B, Charleston, SC 29412-2625 |
| Alicia Anderson | Nurse Practitioner | Liberty Doctors LLC | 418 Folly Rd A and B, Charleston, SC 29412-2625 |
| Douglas H Gleaton | Family Medicine | Liberty Doctors LLC | 418 Folly Rd A and B, Charleston, SC 29412-2625 |
| Curtis D Haskins | Family Medicine | Liberty Doctors LLC | 418 Folly Rd A and B, Charleston, SC 29412-2625 |
| Street Address |
2175 ASHLEY PHOSPHATE RD D |
| City | NORTH CHARLESTON |
| State | SC |
| Zip | 29406-4181 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark A Coker | Cardiovascular Disease (cardiology) | Palmetto Primary Care Physicians | 2550 Elms Ctr Rd, N Charleston, SC 29406 |
| Mary L Bowen | Nurse Practitioner | Palmetto Primary Care Physicians | 2550 Elms Ctr Rd, N Charleston, SC 29406 |
| Jason B Coker | Internal Medicine | Palmetto Primary Care Physicians | 2550 Elms Ctr Rd, N Charleston, SC 29406 |
| Dana West | Nurse Practitioner | Palmetto Primary Care Physicians | 2550 Elms Ctr Rd, N Charleston, SC 29406 |
| Victoria M Adams | Nurse Practitioner | Palmetto Primary Care Physicians | 2550 Elms Ctr Rd, N Charleston, SC 29406 |
| Kirsten Lynn Paris | Physician Assistant | Palmetto Primary Care Physicians | 2550 Elms Ctr Rd, North Charleston, SC 29406 |
| Jack Stansbury | Nurse Practitioner | Palmetto Primary Care Physicians | 2550 Elms Ctr Rd, N Charleston, SC 29406 |
| Jennifer M Lesslie | Optometry | 1370 Remount Rd, Suite B, N Charleston, SC 29406-3322 | |
| Francis Akom | Obstetrics/gynecology | 1370 Remount Rd D, North Charleston, SC 29406-3322 | |
| Michael David Schall | Optometry | 1415 Remount Rd, N Charleston, SC 29406-3326 | |
| Find all physicians in zip 29406 | |||
| City | NORTH CHARLESTON |
| Zip Code | 29406 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | NORTH CHARLESTON + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Allen B Jackson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.