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1417994179
JOSEPH WELLINGTON JACKSON
MONTGOMERY, AL
NPI
1417994179
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207RG0100X Internal Medicine, Gastroenterology
(Licence: AL 9002)
Enumeration Date
2006-06-01
Last Update Date
2007-07-08
Business Address
Dr. JOSEPH WELLINGTON JACKSON MD
1501 FOREST AVE
MONTGOMERY, AL 36106-1539
Phone number: 334-265-3140
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Mailing Address
Dr. JOSEPH WELLINGTON JACKSON MD
PO BOX 5033
MONTGOMERY, AL 36103-5033
Phone number: 334-265-3140
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