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1104889070
GREGORY DWAIN JACKSON
BIRMINGHAM, AL
NPI
1104889070
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: AL 11549)
Enumeration Date
2006-04-10
Last Update Date
2007-11-29
Business Address
-- GREGORY DWAIN JACKSON M.D.
2010 BROOKWOOD MEDICAL CTR DR
BIRMINGHAM, AL 35209-6804
Phone number: 205-877-1990
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Mailing Address
-- GREGORY DWAIN JACKSON M.D.
2090 COLUMBIANA RD SUITE 4400
BIRMINGHAM, AL 35216-2153
Phone number: 205-824-8000
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