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1235232430
BILLIE LUKE JACKSON
MACON, GA
NPI
1235232430
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207N00000X Dermatology
(Licence: GA 30791)
Enumeration Date
2006-09-06
Last Update Date
2011-11-03
Business Address
-- BILLIE LUKE JACKSON M.D.
440 CHARTER BLVD SUITE 2201
MACON, GA 31210-4857
Phone number: 478-477-5575
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Mailing Address
-- BILLIE LUKE JACKSON M.D.
440 CHARTER BLVD SUITE 2201
MACON, GA 31210-4857
Phone number: 478-477-5575
Copy
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