| Provider / Organization | NPI | Date Certified |
|---|---|---|
| CHRISTOPHER D'MARIUS JACKSON | 1437545662 | 2024-08-11 |
Christopher Jackson [M] graduated in 2015 from Medical College Of Georgia School Of Medicine and primarily specializes in Internal Medicine.
Christopher D'marius Jackson is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1437545662. Registration indicates Christopher D'marius Jackson is a provider of access to adult/geriatric primary care providers services with a specialization in Allopathic & Osteopathic Physicians, Internal Medicine Access to Pediatric Primary Care Providers (Allopathic & Osteopathic Physicians, Internal Medicine) (Internal Medicine, ) (Allopathic & Osteopathic Physicians, Internal Medicine) (Primary Care/Family Planning/APRN/PA, ) (Internal Medicine, Allopathic & Osteopathic Physicians)
| PECOS ID | 345561296 |
| Registration | PART-B:Y DME:Y HHA:Y PMD:Y |
| Entity Type | Individual |
| Provider Name | Dr. Christopher D'marius Jackson MD |
| Practice Office Address | 877 JEFFERSON AVE MEMPHIS, TN US |
| Practice Office Telephone | 9015457100 |
| Mailing Address | 877 JEFFERSON AVE MEMPHIS, TN 381032807 US |
| Business Telephone | 9015457100 |
| Address | City / State | Phone / Fax |
|---|---|---|
| 910 Madison Ave Suite 1031 | Memphis, TN 381033403 | 9014485814 |
| Code | Practice | License No State |
|---|---|---|
| 207R00000X PRIMARY | Access to Adult/Geriatric Primary Care Providers Allopathic & Osteopathic Physicians Internal MedicineAccess to Pediatric Primary Care Providers Allopathic & Osteopathic Physicians Internal Medicine Internal Medicine Allopathic & Osteopathic Physicians Internal Medicine Primary Care/Family Planning/APRN/PA Internal Medicine Allopathic & Osteopathic Physicians | 55753
TN |