PATRICIA JACKSON MD, LLC

MARRERO, LA
NPI1952409567
Entity TypeOrganization
Authorized ContactJAMES O THEIS
Authorized Official
504-349-2908
Organization Subpart ?No
Primary Taxonomy207R00000X Internal Medicine
Enumeration Date2006-09-20
Last Update Date2018-08-21
Business Address
PATRICIA JACKSON MD, LLC
1111 MEDICAL CENTER BLVD SUITE N408
MARRERO, LA 70072
Phone number: 504-349-2908
Mailing Address
PATRICIA JACKSON MD, LLC
6019 CONSTANCE ST
NEW ORLEANS, LA 70118-5806
Phone number: 504-349-2908
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