Jason A. Zacks, MD PC

NPI #1619163078 in Dothan, Alabama

Provider Information

NPI Number
1619163078
Entity Type
Organization
Organization Name
Jason A. Zacks, MD PC
Primary Specialty
Clinic/Center - Primary Care
Enumeration Date
Sep 19, 2007
Last Updated
Sep 19, 2007

Practice Location

Address
1920 FAIRVIEW AVE
City
Dothan
State
Alabama
ZIP Code
36301-3008
Phone
(334) 678-1400

Authorized Official

Name
MRS. GLENDA A JONES, CMA
Title
OFFICE MANAGER
Phone
(334) 678-1400

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Primary CarePrimary Care

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