Organization
ALABAMA SPORTS, SPINE & OCCUPATIONAL MEDICINE ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL DONIAL JACKSON MD (PRESIDENT)
(319) 350-2208
Entity
Organization
Contact information
Practice address
242 WINTON BLOUNT LOOP, MONTGOMERY, AL 36117-3501
(319) 350-2208
Mailing address
242 WINTON BLOUNT LOOP, MONTGOMERY, AL 36117-3501
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
—
Other
Enumeration date
06/20/2011
Last updated
06/21/2011
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