DR. DANNY W JACKSON D.O. PA

ROLLING FORK, MS
NPI1659304301
Entity TypeOrganization
Authorized ContactDANNY JACKSON
Owner
662-873-4361
Organization Subpart ?No
Primary Taxonomy291U00000X Clinical Medical Laboratory
Enumeration Date2006-07-08
Last Update Date2020-08-22
Business Address
DR. DANNY W JACKSON D.O. PA
29 S FOURTH ST
ROLLING FORK, MS 39159-5146
Phone number: 662-873-4361
Mailing Address
DR. DANNY W JACKSON D.O. PA
PO BOX 520
ROLLING FORK, MS 39159-0520
Phone number: 662-873-4361