Irvin Charles Jackson
NPI #1851903264 in Shubuta, Mississippi
Provider Information
- NPI Number
- 1851903264
- Entity Type
- Individual
- Name
- Irvin Charles Jackson
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Non-emergency Medical Transport (VAN)
- Enumeration Date
- Aug 18, 2020
- Last Updated
- Sep 2, 2020
Practice Location
- Address
- 327 EAST STREET
- City
- Shubuta
- State
- Mississippi
- ZIP Code
- 39360
- Phone
- (601) 577-4018
Specialties & Taxonomy Codes
| Specialty |
|---|
| Non-emergency Medical Transport (VAN) |
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