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1457966509
COURTNEY TAMARA JACKSON
VALDOSTA, GA
NPI
1457966509
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA F09200417)
Enumeration Date
2020-09-14
Last Update Date
2020-09-14
Business Address
Ms. COURTNEY TAMARA JACKSON NP
407 COWART AVE
VALDOSTA, GA 31602-2635
Phone number: 229-242-1187
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Mailing Address
Ms. COURTNEY TAMARA JACKSON NP
5380 JACKSON RD
MORVEN, GA 31638-3935
Phone number: 229-292-6275
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