IndividualActive
Mark Jackman
NPI 1922593359 · Foot & Ankle Surgery Podiatrist · Montgomery, AL
Provider details
- NPI number
- 1922593359
- Entity type
- Individual
- Primary specialty
- Foot & Ankle Surgery PodiatristPodiatric Medicine & Surgery Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- POD001488 (GA)
Mailing address
8730 Ridgestone Ct
Montgomery, AL 36117-8875
Registry dates
- Enumerated
- 2018-06-27
- Last updated
- 2022-04-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.