Organization
COMPASSIONATE CARE FOR WOMEN, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NKENGE AYEOLA JACKSON MD (PRESIDENT)
(912) 920-2995
Entity
Organization
Contact information
Practice address
5354 REYNOLDS ST STE 420, SAVANNAH, GA 31405-6011
(912) 355-6990
Mailing address
PO BOX 60879, SAVANNAH, GA 31420-0879
(912) 920-2995
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
058969
GA
Other
Enumeration date
12/02/2009
Last updated
09/11/2011
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