Pediatric Center of Jackson

NPI #1659523876 in Jackson, Michigan

Provider Information

NPI Number: 1659523876
Entity Type: Organization
Organization Name: Pediatric Center of Jackson
Primary Specialty: Pediatrics
Enumeration Date: Oct 21, 2008
Last Updated: Oct 21, 2008

Practice Location

Address: 1418 E MICHIGAN AVE
City: Jackson
State: Michigan
ZIP Code: 49202-3518
Phone: (517) 783-1779

Authorized Official

Name: DR. SOUHA S HAKIM, M.D.
Title: OWNER
Phone: (517) 783-1779

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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