DANNY WADE JACKSON

ROLLING FORK, MS
NPI1821013095
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: MS  09390)
Enumeration Date2006-07-12
Last Update Date2010-01-21
Business Address
Dr. DANNY WADE JACKSON D.O.
29 S FOURTH ST
ROLLING FORK, MS 39159-5146
Phone number: 662-873-4361
Mailing Address
Dr. DANNY WADE JACKSON D.O.
PO BOX 520
ROLLING FORK, MS 39159-0520
Phone number: 662-873-4361
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