Search › Alabama › 183500000X
Mark Jackson
NPI 1063620516 · on the registry since 2007 · sole proprietor
Practice
- Address
- 605 Hwy 31 South
Suite D
Athens, AL 35611 - Phone
- (256) 232-8274
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Licence states on file
- AL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Alabama