Organization
BRIAN D. JACKSON, DPM, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN DOUGLAS JACKSON DPM (PRESIDENT)
(931) 380-0353
Entity
Organization
Contact information
Practice address
306 S 7TH ST, PULASKI, TN 38478-3607
(931) 424-3338
Mailing address
1215 HATCHER LN, COLUMBIA, TN 38401-3531
(931) 380-0353
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
436
TN
Other
Enumeration date
04/17/2008
Last updated
04/17/2008
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