Organization
JACKSON HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY JACKSON-HAMMOND M.D., M.P.H. (PRESIDENT)
(313) 831-8805
Entity
Organization
Contact information
Practice address
4727 SAINT ANTOINE ST, STE 202, DETROIT, MI 48201-1461
(313) 831-8805
(313) 832-8206
Mailing address
4727 SAINT ANTOINE ST, STE 202, DETROIT, MI 48201-1461
(313) 831-8805
(313) 832-8206
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301046737
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4180604
—
MI
Enumeration date
04/15/2014
Last updated
04/15/2014
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