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1093710626
JASON ALAN ZACKS
DOTHAN, AL
NPI
1093710626
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: AL 24494)
Enumeration Date
2005-06-20
Last Update Date
2007-08-16
Business Address
Dr. JASON ALAN ZACKS MD
1920 FAIRVIEW AVE
DOTHAN, AL 36301-3008
Phone number: 334-678-1400
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Mailing Address
Dr. JASON ALAN ZACKS MD
1920 FAIRVIEW AVE
DOTHAN, AL 36301-3008
Phone number: 334-678-1400
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