Individual
MRS. TWANA JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1515 HUFFMAN RD STE 101B, CENTER POINT, AL 35215-5622
(205) 844-5080
Mailing address
PO BOX 9542, BIRMINGHAM, AL 35220-0542
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
—
Other
Enumeration date
09/10/2017
Last updated
09/10/2017
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