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Organization
ERICA B. JACKSON, M.D., LLC
Active
Organization
ERICA B. JACKSON, M.D., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERICA BROWN JACKSON M.D. (OWNER)
(504) 305-4232
Entity
Organization
Contact information
Practice address
2002 20TH ST, SUITE A101, KENNER, LA 70062-6289
(504) 305-4232
Mailing address
214 LAUREL OAK DR, SAINT ROSE, LA 70087-3241
(504) 717-5454
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD 200224
LA
Other
Enumeration date
04/08/2013
Last updated
04/08/2013
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