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Search › Alabama › 207Q00000X

Eliceia Jackson, M.D

NPI 1699937557 · on the registry since 2008

Practice

Address
12701 Padgett Switch Rd
Irvington, AL 36544
Phone
(251) 824-2174
Fax
(251) 824-2286
Organisation at this address
Laboratory Corporation Of America Holdings
Bayou La Batre Area Health Development Board, Inc.
Bayou La Batre Area Health Development Board, Inc.
Bayou La Batre Area Health Development Board, Inc.
Bayou La Batre Area Health Development Board, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
29

Registry record

Primary taxonomy
207Q00000X
207Q00000X
Also registered as
207Q00000X
Licence states on file
MS, AL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-03-31

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