JACKSON B AUSTIN

MADISON, WV
NPI1346763786
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: WV  2052)
Enumeration Date2017-07-18
Last Update Date2017-07-18
Business Address
Mr. JACKSON B AUSTIN PA-C
701 MADISON AVE
MADISON, WV 25130-1669
Phone number: 304-369-1230
Mailing Address
Mr. JACKSON B AUSTIN PA-C
9336 S MOUNTAIN RD
POUND, VA 24279-4735
Phone number: