BETHANY WALL JACKSON

ROME, GA
NPI1033396841
Former NameBETHANY JEAN WALL
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy208000000X Pediatrics
(Licence: GA  060642)
Enumeration Date2008-01-23
Last Update Date2024-04-16
Business Address
Dr. BETHANY WALL JACKSON M.D.
2112 SHORTER AVE NW STE 240
ROME, GA 30165-2042
Phone number: 706-368-8575
Mailing Address
Dr. BETHANY WALL JACKSON M.D.
PO BOX 12938 C/O CLINIC MANAGEMENT
CALHOUN, GA 30703
Phone number: 706-602-7800
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