ADOLPHUS MYRON JACKSON

BIRMINGHAM, AL
NPI1700979994
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: AL  3679)
Enumeration Date2006-10-02
Last Update Date2007-07-08
Business Address
Dr. ADOLPHUS MYRON JACKSON D.M.D.
859 LOMB AVE SW
BIRMINGHAM, AL 35211-1257
Phone number: 205-788-2124
Mailing Address
Dr. ADOLPHUS MYRON JACKSON D.M.D.
859 LOMB AVE SW
BIRMINGHAM, AL 35211-1257
Phone number: 205-788-2124