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1497086797
JAMES BRANTLEY JACKSON
AUGUSTA, GA
NPI
1497086797
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: GA 160976)
Enumeration Date
2010-01-26
Last Update Date
2020-02-06
Business Address
JAMES BRANTLEY JACKSON CRNA
3651 WHEELER RD
AUGUSTA, GA 30909-6521
Phone number: 706-855-9860
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Mailing Address
JAMES BRANTLEY JACKSON CRNA
PO BOX 204097
AUGUSTA, GA 30917-4097
Phone number: 706-855-9860
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