Individual
MATTHEW DEAN JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4210 LINCOLN RD, HATTIESBURG, MS 39402-3093
(601) 261-3500
(601) 579-5240
Mailing address
415 S 28TH AVE, HATTIESBURG, MS 39401-7246
(601) 261-3500
(601) 579-5240
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
29759
MS
Other
Enumeration date
03/30/2017
Last updated
03/01/2022
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