MICHAEL S JACKSON

ROME, GA
NPI1306830062
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: GA  055376)
Enumeration Date2005-09-08
Last Update Date2019-08-12
Business Address
Dr. MICHAEL S JACKSON MD
506 RIVERSIDE PKWY NE STE 200
ROME, GA 30161-2902
Phone number: 706-266-2383
Mailing Address
Dr. MICHAEL S JACKSON MD
PO BOX 40
SILVER CREEK, GA 30173-0040
Phone number: 706-266-9090
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