All Medicaid billing entities listing JACKSON, MICKEY (OWNER/PRESIDENT) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Tennessee | 1 | $86K |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | DEL MAR MEDICAL, INC. | MT JULIET, TN | Institutional Pharmacy | $86K |