person
Dr. Danny Wade Jackson, DO
Family Medicine Physician in Rolling Fork, Mississippi
NPI 1821013095

Danny Wade Jackson is a Family Medicine Physician based in Rolling Fork, MS. Danny Wade Jackson practices in Rolling Fork, MS and has the professional credentials of DO. The NPI Number for Danny Wade Jackson is 1821013095 and holds a License No. 09390 (Mississippi).

The current practice location address for Danny Wade Jackson is 29 S Fourth St, Rolling Fork, MS and can be reached out via phone at 662-873-4361 and via fax at 662-873-2921. You can also correspond with Danny Wade Jackson through the mailing address at PO BOX 520, ROLLING FORK, MS - 39159-0520 (mailing address contact number: 662-873-4361).

Location: 29 S Fourth St, Rolling Fork, MS, 39159-0520
person
Provider Profile Details
NPI Number
1821013095
Provider Name
Danny Wade Jackson
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
29 S Fourth St, Rolling Fork, MS, 39159-0520
Phone Number
662-873-4361
Fax Number
662-873-2921
Provider Enumeration Date
07/12/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00019909 05 MS
institution
Provider Business Practice Location Address Details
Address
29 S Fourth St
City
State
Zip
39159-5146
Phone Number
662-873-4361
Fax Number
662-873-2921
person
Provider Business Mailing Address Details
Address
29 S Fourth St
City
State
Zip
39159-5146
Phone Number
662-873-4361
Fax Number
662-873-2921
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
License No.
09390 (Mississippi)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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