LYDIA JACKSON, PA C

Physician Assistant

Active Individual
NPI: 1487642161

Practice Address

215 PERRY HILL RD
Montgomery, AL 36109

Phone: (334) 272-4670

Specialties

Specialty Code Primary License
Physician Assistant 363A00000X Yes PA198 (AL)

Frequently Asked Questions

NPI 1487642161 is the National Provider Identifier for LYDIA JACKSON, PA C, a Physician Assistant provider located in Montgomery, AL. This NPI was enumerated on October 7, 2005.
LYDIA JACKSON, PA C practices at 215 PERRY HILL RD, Montgomery, AL 36109.

Quick Facts

NPI
1487642161
Type
Individual
Enumerated
Oct 7, 2005
Last Updated
Jul 13, 2007

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