Ivan D. Jackson is a Internal Medicine Physician based in Dothan, AL. Ivan D. Jackson practices in Dothan, AL and has the professional credentials of MD. The NPI Number for Ivan D. Jackson is 1205839362 and holds a License No. 11508 (Alabama).
The current practice location address for Ivan D. Jackson is 210 Westside Dr, Dothan, AL and can be reached out via phone at 334-793-5074 and via fax at 334-793-6460. You can also correspond with Ivan D. Jackson through the mailing address at 210 WESTSIDE DR, DOTHAN, AL - 36303-1928 (mailing address contact number: 334-793-5074).
Identifier | Type | State | Issuer |
---|---|---|---|
000015699 | 05 | AL | |
110082048 | 01 | RAILROAD MEDICARE |