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Lillie Jackson, PA
NPI 1881047710 · on the registry since 2016 · sole proprietor
Practice
- Address
- 4704 Cahaba River Rd # 101d
Birmingham, AL 35243 - Phone
- (205) 739-2266
- Fax
- (205) 739-2335
Additional practice sites
- 3800 Ridgeway Dr, Birmingham, AL
Registry record
- Primary taxonomy
- Physician Assistant
363A00000X
- Licence states on file
- AL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-12-31
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