DR. LARRY K JACKSON M.D. NPI 1275574295

NPI Information

DR. Larry K Jackson, M.D. is a pulmonary disease internal medicine in Birmingham, AL. The provider is an internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. DR. Larry K Jackson, M.D. NPI is 1275574295. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2660 10TH AVE S
SUITE 528
BIRMINGHAM, AL
ZIP 35205-605
Phone: (205) 933-9258
Fax: (205) 933-6504

The NPI 1275574295 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 6/9/2006 and was last updated on 1/22/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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