BILLIE LUKE JACKSON

MACON, GA
NPI1235232430
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy207N00000X Dermatology
(Licence: GA  30791)
Enumeration Date2006-09-06
Last Update Date2011-11-03
Business Address
-- BILLIE LUKE JACKSON M.D.
440 CHARTER BLVD SUITE 2201
MACON, GA 31210-4857
Phone number: 478-477-5575
Mailing Address
-- BILLIE LUKE JACKSON M.D.
440 CHARTER BLVD SUITE 2201
MACON, GA 31210-4857
Phone number: 478-477-5575