| NPI | 1861670994 |
|---|---|
| Doing Business As | GREGORY M JACKSON, MD, PA |
| Entity Type | Organization |
| Authorized Contact | CHERYL M JACKSON Office Manager 210-829-0700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2008-01-31 |
| Last Update Date | 2010-11-22 |