Organization
DR. HOWARD C. JACKSON, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HOWARD CLAY JACKSON JR. M.D (PRESIDENT)
(812) 265-2592
Entity
Organization
Contact information
Practice address
606 E MAIN ST, MADISON, IN 47250-4708
(812) 265-2592
(812) 265-5604
Mailing address
606 E MAIN ST, MADISON, IN 47250-4708
(812) 265-2592
(812) 265-5604
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01019775
IN
Other
Enumeration date
02/01/2008
Last updated
03/11/2008
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