Individual
MRS. CHARLENE DAWN JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RKT
Contact information
Practice address
1 FREEDOM WAY # 294, AUGUSTA, GA 30904-6258
(706) 733-0188
(706) 731-7861
Mailing address
1 FREEDOM WAY # 294, AUGUSTA, GA 30904-6258
(706) 733-0188
(706) 731-7861
Taxonomy
Speciality
Code
Description
License number
State
226300000X
Kinesiotherapist
Primary
—
—
Other
Enumeration date
08/23/2006
Last updated
07/08/2007
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