PHILLIP COREY JACKSON, MD PA
Marriage and Family Therapists at Gladden St, Harrison, AR

License number
Arkansas E3074
Category
Osteopathic Medicine
Type
Family Medicine
Owner
Name: DR. PHILLIP COREY JACKSON M.D.
Title: OWNER
Phone: (870) 741-0016
Address
Address
1417 Gladden St, Harrison, AR 72601
National Provider ID: 1821287830
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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PHILLIP COREY JACKSON M.D., PA

1417 Gladden, Harrison, AR 72601

Doing business as:
PREMIER FAMILY CARE
Registration:
Feb 20, 2004
State ID:
800027909
Business type:
For Profit Corporation
Treasurers:
Phillip Corey Jackson (Incorporator/Organizer),Larry G. Keeter (Tax Preparer),Christina Jackson (Treasurer)
Filled under act:
Dom Bus & Medical Corp; 958 of 1987 & 179 of 1961

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