MEDICARE: DR. ALLEN B JACKSON MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RG0300X	Geriatric Medicine (Internal Medicine) Physician	13680	SC
2	207R00000X	Internal Medicine Physician	13680	SC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1902866965
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALLEN B JACKSON MD

Provider Business Mailing Address
First Line	:	PO BOX 13955
Second Line	:
City	:	CHARLESTON
State	:	SC
Zip	:	29422-3955
Country	:	US
Telephone Number	:	843-764-0770
Fax Number	:	843-863-0402

Provider Business Practice Location Address
First Line	:	8761 DORCHESTER RD STE 100
Second Line	:
City	:	NORTH CHARLESTON
State	:	SC
Zip	:	29420-7320
Country	:	US
Telephone Number	:	843-767-3323
Fax Number	:	843-767-4252

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/24/2006
Last Update Date	:	11/03/2023

Similar Medicare Providers

1396705034 — DR. HEATHER ROSE DAWSON M.D.
Practice Location Address:

8761 DORCHESTER RD STE 100
NORTH CHARLESTON, SC
29420-7320

Practice Phone: 843-767-3323
Practice Fax: 843-767-4252

1023057676 — ANNA C PRUITT MD
Practice Location Address:

8761 DORCHESTER RD STE 100
NORTH CHARLESTON, SC
29420-7320

Practice Phone: 843-747-4647
Practice Fax: 843-745-0969

1508928656 — LIBERTY DOCTORS, LLC
Practice Location Address:

8761 DORCHESTER RD STE 100
NORTH CHARLESTON, SC
29420-7320

Practice Phone: 843-767-3323
Practice Fax: 843-767-4252

1558928614 — LIBERTY DOCTORS LLC
Practice Location Address:

8761 DORCHESTER RD STE 100
CHARLESTON, SC
29420-7320

Practice Phone: 843-747-4647
Practice Fax: 843-745-0969

1912604380 — SARAH HARLAN ZOURZOUKIS
Practice Location Address:

8761 DORCHESTER RD STE 100
NORTH CHARLESTON, SC
29420-7320

Practice Phone: 843-767-3323
Practice Fax:

1336356435 — MS. IRMA SHEPPARD MA LPC
Practice Location Address:

7320 NORTH VILLAGE AVENUE
TUCSON, AZ
85704

Practice Phone: 520-321-0433
Practice Fax: 520-321-0433

Directions to “ DR. ALLEN B JACKSON MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.