JAMES BRANTLEY JACKSON

AUGUSTA, GA
NPI1497086797
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: GA  160976)
Enumeration Date2010-01-26
Last Update Date2020-02-06
Business Address
JAMES BRANTLEY JACKSON CRNA
3651 WHEELER RD
AUGUSTA, GA 30909-6521
Phone number: 706-855-9860
Mailing Address
JAMES BRANTLEY JACKSON CRNA
PO BOX 204097
AUGUSTA, GA 30917-4097
Phone number: 706-855-9860
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