Stephen T Jackson MD

NPI 1790799211 - Internal Medicine - 207R00000X

NPI Details
NPI 1790799211
Gender Male
Enumeration Date 07/28/2006
Last Updated 04/22/2008
Entity Type Individual
Active Over 10 years ago
Practice Location
48 MEDICAL PARK EAST DRIVE
SUITE 356
BIRMINGHAM AL, 35235, US
Phone (205) 838-3200
Fax (205) 838-6981
Business Location
48 MEDICAL PARK EAST DRIVE
SUITE 356
BIRMINGHAM AL, 35235, US
Phone (205) 838-3200
Fax (205) 838-6981
Toxanomy
Taxonomy Code 207R00000X
License State Alabama
License Number 00015458
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According to our database, Stephen T Jackson MD NPI is 1790799211, taxonomy code is 207R00000X and license number is 00015458, license state is located at Alabama. Stephen T Jackson MD physically located at 48 Medical Park East Drive, Birmingham AL, 35235. NPI Number Stephen T Jackson MD has the Individual type.

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1790799211 NPI number is provided on an as is basis without warranty of any kind. 1790799211 is maintained by the National Plan & Provider Enumeration System. The contents of Stephen T Jackson MD are for informational purposes only.