Individual
DR. GARY HOWARD JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
38 BENT PEBBLE PT, LUMBERTON, MS 39455-9037
(601) 794-8081
(601) 794-8081
Mailing address
38 BENT PEBBLE PT, LUMBERTON, MS 39455-9037
(601) 794-8081
(601) 794-8081
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
07677
MS
Other
Enumeration date
12/23/2009
Last updated
12/23/2009
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