Individual
JACQUELINE MICHELE O'KANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
3358 NORTON PL, VALDOSTA, GA 31605-6591
(229) 466-2009
(229) 210-9044
Mailing address
15125 US HIGHWAY 19 S, PMB 381, THOMASVILLE, GA 31792
(229) 466-2009
(229) 210-9044
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
3324
AL
207Q00000X
Family Medicine Physician
Primary
85496
GA
Other
Enumeration date
02/19/2013
Last updated
11/05/2024
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