Individual
DR. RALPH L JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
105 HIGHLAND AVE, CORNELIA, GA 30531-4366
(706) 778-8645
(706) 776-2650
Mailing address
105 HIGHLAND AVE, CORNELIA, GA 30531-4366
(706) 778-8645
(706) 776-2650
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
GA009940
GA
Other
Enumeration date
05/26/2005
Last updated
03/11/2009
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