| Jason A. Zacks, MD PC | |
|
1920 Fairview Ave Dothan AL 36301-3008 | |
| (334) 678-1400 | |
| (334) 678-1432 |
| Full Name | Jason A. Zacks, MD PC |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1920 Fairview Ave, Dothan, Alabama |
| Authorized Official Name and Position | Glenda a Jones (OFFICE MANAGER) |
| Authorized Official Contact | 3346781400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jason A. Zacks, MD PC 1920 Fairview Ave Dothan AL 36301-3008 Ph: (334) 678-1400 | Jason A. Zacks, MD PC 1920 Fairview Ave Dothan AL 36301-3008 Ph: (334) 678-1400 |
| NPI Number | 1619163078 |
|---|---|
| Provider Enumeration Date | 09/19/2007 |
| Last Update Date | 09/19/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619163078 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | G64013 (Alabama) | Primary |
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