DAVID C JACKS MD PA
Medical Practice at Mulberry St, Pine Bluff, AR

License number
Arkansas C5066
Category
Medical Practice
Type
Specialist
Owner
Name: MRS. JUDY FRIZIELLE LPN
Title: BILLING MANAGER/ NURSE
Phone: (870) 535-4221
Address
Address
4303 S Mulberry St, Pine Bluff, AR 71603
National Provider ID: 1083882633
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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DAVID C. JACKS, M.D., PA

4303 Mulberry St SUITE A, Pine Bluff, AR 71603

Registration:
Dec 6, 1982
State ID:
100027554
Business type:
For Profit Corporation
President:
David C. Jacks (President)
Filled under act:
Dom Bus & Medical Corp; 576 of 1965 & 179 of 1961

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