Individual
DR. KEITH JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
2934 PELZER AVE, MONTGOMERY, AL 36109-2147
(334) 354-4651
Mailing address
2934 PELZER AVE, MONTGOMERY, AL 36109-2147
(334) 649-6894
(334) 649-6894
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
11/12/2019
Last updated
12/18/2019
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