O.b. Jackson INC
NPI #1881197861 in Russellville, Alabama
Provider Information
- NPI Number
- 1881197861
- Entity Type
- Organization
- Organization Name
- O.b. Jackson INC
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Mar 15, 2018
- Last Updated
- Mar 15, 2018
Practice Location
- Address
- 14001 HIGHWAY 43 STE 15
- City
- Russellville
- State
- Alabama
- ZIP Code
- 35653-2849
- Phone
- (256) 332-6721
Authorized Official
- Name
- SHANNON GRANADA
- Title
- MANAGER
- Phone
- (256) 332-6721
Specialties & Taxonomy Codes
| Specialty |
|---|
| Point of Service |
| Durable Medical Equipment & Medical Supplies |
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