IndividualActive
Daniel Jackson, MD
NPI 1922052794 · Gastroenterology Physician · Dothan, AL
Provider details
- NPI number
- 1922052794
- Entity type
- Individual
- Primary specialty
- Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 11900 (AL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
480 Honeysuckle Rd
Dothan, AL 36305
Phone: (334) 836-1212
Fax: (334) 836-1888
Approximate (ZIP-level) locationGet directions
Mailing address
480 Honeysuckle Rd
Dothan, AL 36305
Registry dates
- Enumerated
- 2006-05-19
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.