| William G. Jackson, M.d.,p.a. | |
|
202 Alcorn Dr Corinth MS 38834-9701 | |
| (662) 287-4481 | |
| (662) 287-4368 |
| Full Name | William G. Jackson, M.d.,p.a. |
|---|---|
| Speciality | Family Medicine |
| Location | 202 Alcorn Dr, Corinth, Mississippi |
| Authorized Official Name and Position | William Jackson (OWNER/PHYSICIAN) |
| Authorized Official Contact | 6622874481 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| William G. Jackson, M.d.,p.a. 202 Alcorn Dr Corinth MS 38834-9701 Ph: (662) 287-4481 | William G. Jackson, M.d.,p.a. 202 Alcorn Dr Corinth MS 38834-9701 Ph: (662) 287-4481 |
| NPI Number | 1336162718 |
|---|---|
| Provider Enumeration Date | 07/26/2006 |
| Last Update Date | 11/05/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336162718 | NPI | - | NPPES |
| 04339516 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 07322 (Mississippi) | Primary |
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