JOHN M JACKSON

LAGRANGE, GA
NPI1982717575
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: GA  DN010331)
Enumeration Date2006-08-16
Last Update Date2007-07-08
Business Address
Dr. JOHN M JACKSON DMD
304 S LEWIS ST
LAGRANGE, GA 30240-3144
Phone number: 706-845-0544
Mailing Address
Dr. JOHN M JACKSON DMD
304 S LEWIS ST
LAGRANGE, GA 30240-3144
Phone number: 706-845-0544