DR. Charles Alexander Ousborne Jackson JR.

NPI #1588455521 in Meridianville, Alabama

Provider Information

NPI Number: 1588455521
Entity Type: Individual
Name: DR. Charles Alexander Ousborne Jackson JR.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: May 16, 2025
Last Updated: May 16, 2025

Practice Location

Address: 207 BLAIRWOOD CT
City: Meridianville
State: Alabama
ZIP Code: 35759-2056
Phone: (256) 919-5062

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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