Organization
MERCER MEDICAL ASSOCIATES PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS COZATT JACKSON JR. M.D. (OWNER)
(859) 734-4307
Entity
Organization
Contact information
Practice address
470 LINDEN AVE, SUITE 3, HARRODSBURG, KY 40330-1871
(859) 734-4307
(859) 734-4300
Mailing address
470 LINDEN AVE, SUITE 3, HARRODSBURG, KY 40330-1871
(859) 734-4307
(859) 734-4300
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
29222
KY
Other
Enumeration date
10/15/2007
Last updated
10/15/2007
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