Individual
JOSEPH A JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
30941 MILL LN STE G-132, SPANISH FORT, AL 36527-5456
(228) 594-2000
(228) 357-9362
Mailing address
30941 MILL LN STE G-132, SPANISH FORT, AL 36527-5456
(228) 594-2000
(228) 357-9362
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
08636
MS
2084N0400X
Neurology Physician
Primary
25310
AL
Other
Enumeration date
03/29/2007
Last updated
07/07/2020
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