MICKEY JACKSON

DUBLIN, GA
NPI1922477249
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy343900000X Non-emergency Medical Transport (VAN)
Enumeration Date2015-09-16
Last Update Date2015-09-16
Business Address
-- MICKEY JACKSON
610 JOHN ROBINSON TL.
DUBLIN, GA 31021
Phone number: 478-484-9627
Mailing Address
-- MICKEY JACKSON
610 JOHN ROBINSON TRL
DUBLIN, GA 31021-2011
Phone number: 478-484-9627
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