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Contact Information

MARK JACKMAN
215 PERRY HILL RD
MONTGOMERY, AL36109-3725
 Phone: 180-145-5538
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
Indicates primary specialty

NPI Profile & details for MARK JACKMAN · (Male)

NPI Number 1922593359
Status Active
Credentials
Entity Individual
Enumeration date 06/27/2018
Last updated 04/04/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • GA License # POD001488
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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