DR. Danny Wade Jackson, D.O.
NPI #1821013095 in Rolling Fork, Mississippi
Provider Information
- NPI Number
- 1821013095
- Entity Type
- Individual
- Name
- DR. Danny Wade Jackson, D.O.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Family Medicine
- Credential
- D.O.
- Enumeration Date
- Jul 12, 2006
- Last Updated
- Jan 21, 2010
Practice Location
- Address
- 29 S FOURTH ST
- City
- Rolling Fork
- State
- Mississippi
- ZIP Code
- 39159-5146
- Phone
- (662) 873-4361
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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