Organization
JACKSON HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY L. JACKSON-HAMMOND M.D. (MEDICAL DIRECTOR)
(313) 831-8805
Entity
Organization
Contact information
Practice address
3800 WOODWARD AVE, STE. 418, DETROIT, MI 48201-2061
(313) 831-8805
(313) 832-8206
Mailing address
3800 WOODWARD AVE, STE. 418, DETROIT, MI 48201-2061
(313) 831-8805
(313) 832-8206
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
4301046737
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4180604
—
MI
Enumeration date
07/17/2008
Last updated
07/17/2008
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