Individual provider · Type 1 NPI

Danny Wade Jackson, DO

Family Medicine Physician · Rolling Fork, MS

NPI number 1821013095 Active

Practice location

29 S Fourth St
Rolling Fork, MS 39159-5146

Fax (662) 873-2921

Mailing address

PO Box 520
Rolling Fork, MS 39159-0520

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000X09390 (MS)

Family Medicine Physician: 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.

6 other providers at this address

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About NPI 1821013095

Danny Wade Jackson, DO's National Provider Identifier is 1821013095, issued on Jul 12, 2006. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Rolling Fork, MS. The record was last updated on Jan 21, 2010.