Individual
MR. JACKSON ALEXANDER HARBIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
865 S 1ST ST, JESUP, GA 31545-0210
(912) 530-3395
Mailing address
205 SONATA CIR, POOLER, GA 31322-4939
(407) 730-1299
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
12355
GA
Other
Enumeration date
06/05/2024
Last updated
06/24/2024
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