# DR. HOWARD C. JACKSON, INC.

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

## Provider details

- **NPI number:** 1578741484
- **Authorized official:** DR. HOWARD CLAY JACKSON JR. M.D (PRESIDENT)
- **Authorized official phone:** (812) 265-2592

## Contact information

- **Practice address:** 606 E MAIN ST, MADISON, IN 47250-4708
- **Practice address phone:** (812) 265-2592
- **Practice address fax:** (812) 265-5604
- **Mailing address:** 606 E MAIN ST, MADISON, IN 47250-4708
- **Mailing address phone:** (812) 265-2592
- **Mailing address fax:** (812) 265-5604

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 01019775 | IN | Yes |

## Other

- **Enumeration date:** 02/01/2008
- **Last updated:** 03/11/2008