Individual
MISS TAMMY CHRISTY JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MEDICAL ASSISTANT
Contact information
Practice address
226 WORTHINGTON LN, WARNER ROBINS, GA 31088-2050
(478) 396-5465
Mailing address
226 WORTHINGTON LN, WARNER ROBINS, GA 31088-2050
(478) 396-5465
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
GA
Other
Enumeration date
11/09/2023
Last updated
11/09/2023
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