Individual
JOHN RUSHING JACKSON, JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
JOHN JACKSON, MD
Contact information
Practice address
410 6TH AVE, HATTIESBURG, MS 39401-4290
(601) 583-6279
Mailing address
410 6TH AVE, HATTIESBURG, MS 39401-4290
(601) 583-6279
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4686
MS
Other
Enumeration date
04/07/2009
Last updated
04/07/2009
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