Individual
MISS JACQUELINE J BURKES
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
220 ALSTON ST, RICHLAND, GA 31825-1404
(229) 838-4150
(229) 838-4156
Mailing address
6612 HENSLEY DR, COLUMBUS, GA 31907-3025
(706) 563-2213
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
002386
GA
Other
Enumeration date
10/18/2005
Last updated
07/08/2007
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