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Individual

HAYNES G JACKSON JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
118 WOMENS CENTER LANE, SUITE B, HOT SPRINGS, AR 71913
(501) 321-2229
(501) 609-2342
Mailing address
PO BOX 21850, HOT SPRINGS, AR 71903-1850
(501) 627-1800
(501) 627-1899

Taxonomy

Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
C4886
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
104689001
AR
Enumeration date
08/09/2005
Last updated
11/17/2009
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