HENRY JACKSON

NEWNAN, GA
NPI1871147116
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: GA  DN015907)
Enumeration Date2019-07-25
Last Update Date2019-07-25
Business Address
HENRY JACKSON DMD
55 GLENDA TRCE
NEWNAN, GA 30265-3887
Phone number: 770-252-4466
Mailing Address
HENRY JACKSON DMD
106 W COVE DR
NEWNAN, GA 30263-6370
Phone number: 678-877-5423
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