Individual
DR. DAVID B JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
00018093
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000022709
—
AL
01
—
051022709
BCBS
AL
Enumeration date
06/08/2006
Last updated
12/23/2010
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