Dr. Danny W Jackson D.o. PA
NPI #1659304301 in Rolling Fork, Mississippi
Provider Information
- NPI Number
- 1659304301
- Entity Type
- Organization
- Organization Name
- Dr. Danny W Jackson D.o. PA
- Primary Specialty
- Clinical Medical Laboratory
- Enumeration Date
- Jul 8, 2006
- Last Updated
- Aug 22, 2020
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
- Title
- OWNER
- Phone
- (662) 873-4361
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinical Medical Laboratory |
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