MELVIN JACKSON

MACON, GA
NPI1962511535
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: GA  039134)
Enumeration Date2006-08-29
Last Update Date2007-07-08
Business Address
-- MELVIN JACKSON MD
777 HEMLOCK ST HB 64
MACON, GA 31201-2102
Phone number: 478-633-2097
Mailing Address
-- MELVIN JACKSON MD
120 HUDSON WAY
MACON, GA 31216-6188
Phone number: 478-788-0404
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