Individual
EUGENE HOOKS JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
118 NORMAN DORMINY DR, FITZGERALD, GA 31750-8858
(229) 423-9561
Mailing address
PO BOX 1447, FITZGERALD, GA 31750-1447
(229) 423-9561
(229) 424-7097
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
022793
GA
Other
Enumeration date
06/27/2005
Last updated
04/06/2015
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