NPI 1154477453
Anthony Wade Jackson, MD
Practice location
- Address
- 152 Highway 7 S, Oxford, MS 38655-5392
- Phone
- (662) 488-8878
Registered specialties
Child & Adolescent Psychiatry Physician
Primary
Registry record
- NPI
- 1154477453
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 27 Jan 2007
- Record last updated
- 9 Sep 2015
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.