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1326034703
JOANIE JACKSON
DALTON, GA
NPI
1326034703
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA rn076651)
Enumeration Date
2005-09-21
Last Update Date
2007-07-08
Business Address
Mrs. JOANIE JACKSON FNP
1983 SOURWOOD DR
DALTON, GA 30720-4971
Phone number: 706-277-2863
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Mailing Address
Mrs. JOANIE JACKSON FNP
1983 SOURWOOD DR
DALTON, GA 30720-4971
Phone number: 706-277-2863
Copy
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