Jackson Rural Health Clinic P a
NPI #1316975287 in Rolling Fork, Mississippi
Provider Information
- NPI Number
- 1316975287
- Entity Type
- Organization
- Organization Name
- Jackson Rural Health Clinic P a
- Primary Specialty
- Family Medicine
- Enumeration Date
- Jun 29, 2006
- Last Updated
- Dec 4, 2012
Practice Location
- Address
- 29 S FOURTH ST
- City
- Rolling Fork
- State
- Mississippi
- ZIP Code
- 39159-5146
- Phone
- (662) 873-4361
Authorized Official
- Name
- DR. DANNY JACKSON, D.O.
- Title
- OWNER
- Phone
- (662) 873-4361
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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