Individual
DR. LORNA C. JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
106 E BROAD ST, SAVANNAH, GA 31401-2917
(912) 527-1086
(912) 527-1126
Mailing address
1501 ABERCORN ST, SAVANNAH, GA 31401-7315
(912) 233-7970
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN011600
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000814943A
—
GA
Enumeration date
11/15/2006
Last updated
03/31/2021
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