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1144389347
ROBERT W JACKSON
THOMASVILLE, GA
NPI
1144389347
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: GA DN007586)
Enumeration Date
2006-12-06
Last Update Date
2007-07-08
Business Address
Dr. ROBERT W JACKSON DDS
209 MIMOSA DR
THOMASVILLE, GA 31792-6633
Phone number: 229-226-1919
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Mailing Address
Dr. ROBERT W JACKSON DDS
PO BOX 1696
THOMASVILLE, GA 31799-1696
Phone number: 229-226-1919
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