Individual
JOSEPH M JACKSON III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2701 MEREDYTH DR, ALBANY, GA 31707-2267
(229) 883-7010
(229) 435-4022
Mailing address
2701 MEREDYTH DR, ALBANY, GA 31707-2267
(229) 883-7010
(229) 435-4022
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
039374
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00706417E
—
GA
Enumeration date
08/30/2005
Last updated
12/20/2022
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