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1962511535
MELVIN JACKSON
MACON, GA
NPI
1962511535
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: GA 039134)
Enumeration Date
2006-08-29
Last Update Date
2007-07-08
Business Address
-- MELVIN JACKSON MD
777 HEMLOCK ST HB 64
MACON, GA 31201-2102
Phone number: 478-633-2097
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Mailing Address
-- MELVIN JACKSON MD
120 HUDSON WAY
MACON, GA 31216-6188
Phone number: 478-788-0404
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