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EUGENE HOOKS JACKSON MD

>> Family Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1538165386

Individual Registrant:
 EUGENE HOOKS JACKSON MD
Gender: M
Not Sole Proprietor

Location and contact information for practice:
118 NORMAN DORMINY DR  FITZGERALD, GA 31750-8858 US
Tel: 229-423-9561  Fax: --

Contact information for business:
PO BOX 1447  FITZGERALD, GA 31750-1447 US
Tel: 229-423-9561  Fax: 229-424-7097

Registration Information:
NPI: 1538165386
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207Q00000XAllopathic & Osteopathic Physicians
Family Medicine
GA022793

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS GA - Page 1



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