| NPI | 1689980948 |
|---|---|
| Doing Business As | JACKSON MEDICAL SUPPLY |
| Entity Type | Organization |
| Authorized Contact | REGINALD FULLWOOD President 601-376-0855 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MS 06365/11.1) |
| Enumeration Date | 2010-08-25 |
| Last Update Date | 2020-05-22 |