Individual
MR. JAMES JACKSON III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
111 GREEN ST, BROCKTON, MA 02301-7222
(857) 275-6438
Mailing address
111 GREEN ST, BROCKTON, MA 02301-7222
(857) 275-6438
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/21/2023
Last updated
11/21/2023
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