KALITA HIGGINBOTHAM JACKSON

LAWRENCEVILLE, GA
NPI1679847057
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: GA  RN191958)
Enumeration Date2012-03-01
Last Update Date2020-02-08
Business Address
Mrs. KALITA HIGGINBOTHAM JACKSON FNP-C
500 MEDICAL CENTER BLVD STE 310
LAWRENCEVILLE, GA 30046-3332
Phone number: 678-629-7139
Mailing Address
Mrs. KALITA HIGGINBOTHAM JACKSON FNP-C
500 MEDICAL CENTER BLVD STE 310
LAWRENCEVILLE, GA 30046-3332
Phone number: 678-629-7139
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