DR. IVAN JACKSON, MD
Internal Medicine
Active
Individual
NPI: 1205839362
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Internal Medicine | 207R00000X | Yes | 11508 (AL) |
Frequently Asked Questions
NPI 1205839362 is the National Provider Identifier for DR. IVAN JACKSON, MD, a Internal Medicine provider located in Dothan, AL. This NPI was enumerated on May 23, 2005.
DR. IVAN JACKSON, MD practices at 210 WESTSIDE DR, Dothan, AL 36303.
Quick Facts
- NPI
- 1205839362
- Type
- Individual
- Enumerated
- May 23, 2005
- Last Updated
- Mar 3, 2021
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