Individual
DR. JACK ZACKEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2407 HELTON DR, FLORENCE, AL 35630-1067
(256) 718-5900
Mailing address
2600 SIXTH ST SW, CANTON, OH 44710-1702
(330) 363-6235
(330) 363-4914
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
2838
AL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/03/2018
Last updated
06/14/2022
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