Individual
MISSY LEIGH JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
803 S MAIN ST, GREENSBORO, GA 30642-1211
(706) 319-8762
(706) 999-3221
Mailing address
803 S MAIN ST, GREENSBORO, GA 30642-1211
(706) 999-3221
(706) 999-3221
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
RN139599
GA
Other
Enumeration date
06/07/2013
Last updated
06/07/2013
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