Individual
ANNA MARIE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
751 ROSE ST, LEXINGTON, KY 40536-0232
(304) 502-2622
Mailing address
1050 COLONIAL HILLS DR, MOBILE, AL 36695-7400
(304) 502-2622
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
1-182664
AL
Other
Enumeration date
03/19/2026
Last updated
03/19/2026
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