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Organization
BRIAN D. JACKSON, DPM, LLC
Active
Organization
BRIAN D. JACKSON, DPM, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN DOUGLAS JACKSON DPM (PRESIDENT)
(931) 380-0353
Entity
Organization
Contact information
Practice address
306 S 7TH ST, PULASKI, TN 38478-3607
(931) 424-3338
Mailing address
1215 HATCHER LN, COLUMBIA, TN 38401-3531
(931) 380-0353
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
436
TN
Other
Enumeration date
04/17/2008
Last updated
04/17/2008
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