Individual
MR. TORRY JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
192 E BROAD ST, CAMILLA, GA 31730-1970
(844) 567-3635
(229) 330-2014
Mailing address
192 E BROAD ST, CAMILLA, GA 31730-1970
(844) 567-3635
(229) 330-2014
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
5881283394TJ
GA
Other
Enumeration date
10/29/2025
Last updated
10/29/2025
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