# WILLIAM G. JACKSON, M.D.,P.A.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336162718
- **Authorized official:** WILLIAM JACKSON (OWNER/PHYSICIAN)
- **Authorized official phone:** (662) 287-4481

## Contact information

- **Practice address:** 202 ALCORN DR, CORINTH, MS 38834-9701
- **Practice address phone:** (662) 287-4481
- **Practice address fax:** (662) 287-4368
- **Mailing address:** 202 ALCORN DR, CORINTH, MS 38834-9701
- **Mailing address phone:** (662) 287-4481
- **Mailing address fax:** (662) 287-4368

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 07322 | MS | Yes |

## Other

- **Enumeration date:** 07/26/2006
- **Last updated:** 11/05/2010