SOPHIA EVETTE JACKSON

BUFORD, GA
NPI1093879769
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner Family
(Licence: GA  RN117221)
Enumeration Date2006-12-20
Last Update Date2013-09-16
Business Address
MRS. SOPHIA EVETTE JACKSON NP
1950 BUFORD HWY CVS CAREMARK MINUTE CLINIC
BUFORD, GA 30518-3673
Phone number: 770-945-7286
Mailing Address
MRS. SOPHIA EVETTE JACKSON NP
4249 BRENTWOOD DR
BUFORD, GA 30518-9008
Phone number: 770-292-8634
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