Individual
SHEILA JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5067 BUSINESS PARK DR, MONTGOMERY, AL 36116
(334) 612-2100
(334) 612-2148
Mailing address
4220 TROY HWY, MONTGOMERY, AL 36116-2618
(334) 612-2100
(331) 612-2148
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
749
AL
Other
Enumeration date
03/07/2007
Last updated
07/08/2007
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