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Individual

DR. JUSTICE JAKOBI HARRISON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
437 LEWISTON RD STE 2, GROVETOWN, GA 30813-4286
(504) 428-5448
Mailing address
456 CREEK RDG, MARTINEZ, GA 30907-4919
(504) 428-5448

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN123181
GA

Other

Enumeration date
07/17/2023
Last updated
10/29/2025
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