LAVERNE JACKSON

QUITMAN, GA
NPI1134593353
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy261QP2300X Clinic/Center, Primary Care
(Licence: GA  RN130090)
Enumeration Date2015-11-27
Last Update Date2015-11-27
Business Address
-- LAVERNE JACKSON
903 N COURT ST
QUITMAN, GA 31643-1315
Phone number: 229-263-7147
Mailing Address
-- LAVERNE JACKSON
903 N COURT ST
QUITMAN, GA 31643-1315
Phone number: 229-263-7147
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