Most Relevant Information
Provider Data
| NPI Number: | 1003582982 |
| Provider Name: | SCARLEY C JACKSON |
| Entity Type: | Individual |
| Taxonomy Code: | 342000000X |
| Specialty: | Transportation Network Company |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/19/2021 |
| Last Updated: | 08/19/2021 |
Provider Practice Location
1533 ALABAMA AVE SW
BIRMINGHAM
AL
352111831
Practice Location Phone/Fax
| Phone: | 2052033369 |
| Fax: |
Provider Mailing Location
1533 ALABAMA AVE SW
BIRMINGHAM
AL
352111831
Provider Mailing Phone/Fax
| Phone: | 2052033369 |
| Fax: |