HENRY JACKSON

AUGUSTA, GA
NPI1285643452
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: GA  020320)
Enumeration Date2006-08-05
Last Update Date2007-07-08
Business Address
-- HENRY JACKSON
1 FREEDOM WAY VAMC-AUGUSTA-UD (26)
AUGUSTA, GA 30904-6258
Phone number: 706-733-0188
Mailing Address
-- HENRY JACKSON
PO BOX 3677
AUGUSTA, GA 30914-3677
Phone number:
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