Organization
H.S. JACKSON JR. PSC
Active
Other names
Urology Associates
Organization subpart
No
Provider details
NPI number
Authorized official
HERSCHEL SWAN JACKSON JR. M.D. (PRESIDENT)
(270) 753-9240
Entity
Organization
Contact information
Practice address
300 S 8TH ST, SUITE 107E, MURRAY, KY 42071-2400
(270) 753-9240
(270) 767-3629
Mailing address
300 S 8TH ST, SUITE 107E, MURRAY, KY 42071-2400
(270) 753-9240
(270) 767-3629
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
15974
KY
363LF0000X
Family Nurse Practitioner
5519P
KY
Other
Enumeration date
06/05/2007
Last updated
12/21/2010
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