Organization
JASON A. ZACKS, MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GLENDA A JONES CMA (OFFICE MANAGER)
(334) 678-1400
Entity
Organization
Contact information
Practice address
1920 FAIRVIEW AVE, DOTHAN, AL 36301-3008
(334) 678-1400
(334) 678-1432
Mailing address
1920 FAIRVIEW AVE, DOTHAN, AL 36301-3008
(334) 678-1400
(334) 678-1432
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
G64013
AL
Other
Enumeration date
09/19/2007
Last updated
09/19/2007
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