Individual
AISHA JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
745 FORT HILL ST, MACON, GA 31217-3765
(478) 550-8597
Mailing address
745 FORT HILL ST, MACON, GA 31217-3765
(478) 550-8597
Taxonomy
Speciality
Code
Description
License number
State
376G00000X
Nursing Home Administrator
Primary
CN0014188281
GA
Other
Enumeration date
12/17/2025
Last updated
12/17/2025
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