DR. Ivan D. Jackson, MD

NPI #1205839362 in Dothan, Alabama

Provider Information

NPI Number: 1205839362
Entity Type: Individual
Name: DR. Ivan D. Jackson, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine
Credential: MD
Enumeration Date: May 23, 2005
Last Updated: Mar 3, 2021

Practice Location

Address: 210 WESTSIDE DR
City: Dothan
State: Alabama
ZIP Code: 36303-1928
Phone: (334) 793-5074

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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