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1427576511
HOLLY M JACKSON
CARROLLTON, GA
NPI
1427576511
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA RN216051)
Enumeration Date
2017-09-08
Last Update Date
2017-09-08
Business Address
HOLLY M JACKSON NP
905 DIXIE ST
CARROLLTON, GA 30117-4417
Phone number: 770-812-5831
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Mailing Address
HOLLY M JACKSON NP
119 AMBULANCE DR STE 202
CARROLLTON, GA 30117-3857
Phone number: 770-838-8710
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