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Antwain Jackson

NPI 1063096147 · on the registry since 2021

Practice

Address
1711 10th Ave Se
Decatur, AL 35601
Phone
(256) 226-0150

Registry record

Primary taxonomy
373H00000X
373H00000X
Also registered as
372600000X
Sex
Male
Record last updated
2021-05-05

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Alabama