Individual
DR. JACKIE FECKOURY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
203 MILLARD FARMER IND BLVD, NEWNAN, GA 30263-1012
(770) 746-3342
Mailing address
156 LORETTA LN, LUTHERSVILLE, GA 30251-2110
(770) 998-1481
(678) 929-3191
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN009923
GA
Other
Enumeration date
10/24/2017
Last updated
08/18/2023
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