COLETTE JACKSON

BIRMINGHAM, AL
NPI1174943138
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207WX0110X Ophthalmology, Pediatric Ophthalmology and Strabismus Specialist
(Licence: AL  37977)
Additional Taxonomies207W00000X Ophthalmology
(Licence: SC  52176)
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2014-04-17
Last Update Date2019-05-22
Business Address
COLETTE JACKSON MD
1000 19TH ST S
BIRMINGHAM, AL 35205-4804
Phone number: 205-930-0700
Mailing Address
COLETTE JACKSON MD
PO BOX 751461
CHARLOTTE, NC 28275-1461
Phone number: 843-792-6200