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1265576581
PHILLIP GAYNOR JACKSON
ATLANTA, GA
NPI
1265576581
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: GA 048248)
Enumeration Date
2007-02-19
Last Update Date
2007-07-08
Business Address
Dr. PHILLIP GAYNOR JACKSON D.O.
5500 ROCKTON WOOD WAY SW
ATLANTA, GA 30331-8904
Phone number: 404-494-9540
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Mailing Address
Dr. PHILLIP GAYNOR JACKSON D.O.
5500 ROCKTON WOOD WAY SW
ATLANTA, GA 30331-8904
Phone number: 404-494-9540
Copy
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