Irvin Charles Jackson Valid NPI
Individual provider · Non-emergency Medical Transport (VAN) · Shubuta, MS
- NPI
- 1851903264
- Type
- Individual (Type 1)
- Primary specialty
- Non-emergency Medical Transport (VAN)
- Specialty group
- Transportation Services
- Taxonomy code
- 343900000X
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2020-08-18
- Last updated
- 2020-09-02
Practice location
327 East Street
Shubuta, MS 39360
(601) 577-4018