Organization
ELIZABETH JACKSON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH JACKSON DPT (PHYSICAL THERAPIST)
(912) 585-4211
Entity
Organization
Contact information
Practice address
1446 HARPER ST, AUGUSTA, GA 30912-0012
(762) 375-2396
Mailing address
4304 CANDLEBERRY GDN, NORTH AUGUSTA, SC 29860-7203
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
—
—
Other
Enumeration date
07/24/2025
Last updated
09/23/2025
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