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Organization
H.S. JACKSON JR. PSC
Active
Organization
H.S. JACKSON JR. PSC
Active
Other names
Urology Associates
Organization subpart
No
Provider details
NPI number
Authorized official
HERSCHEL SWAN JACKSON JR. M.D. (PRESIDENT)
(270) 753-9240
Entity
Organization
Contact information
Practice address
300 S 8TH ST, SUITE 107E, MURRAY, KY 42071-2400
(270) 753-9240
(270) 767-3629
Mailing address
300 S 8TH ST, SUITE 107E, MURRAY, KY 42071-2400
(270) 753-9240
(270) 767-3629
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
15974
KY
363LF0000X
Family Nurse Practitioner
5519P
KY
Other
Enumeration date
06/05/2007
Last updated
12/21/2010
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