# DR. GEORGE W. JACKSON PA

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

## Provider details

- **NPI number:** 1598980229
- **Authorized official:** CARY JACKSON (BUSINESS MANAGER)
- **Authorized official phone:** (870) 856-6000

## Contact information

- **Practice address:** 1440 HIGHWAY 62 412, HIGHLAND, AR 72542-9497
- **Practice address phone:** (870) 856-6000
- **Practice address fax:** (870) 856-6001
- **Mailing address:** 1440 HIGHWAY 62 412, HIGHLAND, AR 72542-9497
- **Mailing address phone:** (870) 856-6000
- **Mailing address fax:** (870) 856-6001

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | MC1251 | AR | Yes |

## Other

- **Enumeration date:** 04/16/2007
- **Last updated:** 04/27/2009