ROBERT EARL JACKSON

COLUMBUS, GA
NPI1780005496
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
(Licence: GA  034283667)
Enumeration Date2013-12-23
Last Update Date2013-12-23
Business Address
Mr. ROBERT EARL JACKSON
17 WICKHAM DR
COLUMBUS, GA 31907-6328
Phone number: 706-689-6676
Mailing Address
Mr. ROBERT EARL JACKSON
17 WICKHAM DR
COLUMBUS, GA 31907-6328
Phone number: 706-689-6676
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