Jackson Healthcare

NPI #1639359565 in Shelbyville, Kentucky

Provider Information

NPI Number: 1639359565
Entity Type: Organization
Organization Name: Jackson Healthcare
Primary Specialty: General Practice
Enumeration Date: Nov 8, 2007
Last Updated: Nov 8, 2007

Practice Location

Address: 148 MIDLAND BLVD
City: Shelbyville
State: Kentucky
ZIP Code: 40065-9734
Phone: (502) 647-1958

Authorized Official

Name: DR. WILLIAM J JACKSON, MD
Title: OWNER/DOCTOR
Phone: (502) 647-1958

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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