CENCEREITTE CANTY-JACKSON

MACON, GA
NPI1083421242
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: GA  RN217763)
Enumeration Date2024-12-11
Last Update Date2024-12-11
Business Address
CENCEREITTE CANTY-JACKSON FNP-C
996 CHAPMAN DR
MACON, GA 31211-7214
Phone number: 478-232-4590
Mailing Address
CENCEREITTE CANTY-JACKSON FNP-C
996 CHAPMAN DR
MACON, GA 31211-7214
Phone number: 478-232-4590