Individual
MRS. SABRINA DEVON JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
28 E HARRIS CIR, CUTHBERT, GA 39840-1270
(229) 732-2814
Mailing address
28 E HARRIS CIR, CUTHBERT, GA 39840-1270
(229) 732-2814
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
CN0000057891
GA
Other
Enumeration date
02/04/2008
Last updated
02/04/2008
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