Gregory Dwain Jackson, M.D.
Radiology, Diagnostic Radiology in Birmingham, AL. Individual provider (NPI-1).
NPI number1104889070
StatusActive
Last updated in NPPESNov 29, 2007
Details
- NPI
- 1104889070
- Entity type
- Individual (NPI-1)
- Name
- Gregory Dwain Jackson
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 10, 2006
- Last updated
- Nov 29, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2085R0202X | Radiology, Diagnostic Radiology | 11549 | AL | Yes |
Practice location
2010 Brookwood Medical Ctr DrBirmingham, AL 35209-6804
Phone 205-877-1990 · Fax 205-824-8111
Mailing address
2090 Columbiana RdSuite 4400
Birmingham, AL 35216-2153
Phone 205-824-8000 · Fax 205-824-8111
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