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NPI Verification

National Provider Identifier: 1023219425

Jackson Physician CORP

Organization

Primary Specialty

Urology, Pediatric Urology

Code: 2088P0231X

Practice Address

PO BOX 790

JACKSON, KY 413390790

Phone: 606-693-0531

NPI Enumeration Date

May 31, 2007

NPI Number

1023219425

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry
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