DAVID RAY JACKSON

VALDOSTA, GA
NPI1215079983
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner Family
(Licence: GA  RN154383)
Enumeration Date2007-02-12
Last Update Date2025-07-25
Business Address
MR. DAVID RAY JACKSON NP
2301 N ASHLEY ST
VALDOSTA, GA 31602-2620
Phone number: 229-270-2403
Mailing Address
MR. DAVID RAY JACKSON NP
204 E 4TH ST
OCILLA, GA 31774-1539
Phone number: 229-468-9166