Individual
SANDY JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
72 CLEBORN STREET, CUTHBERT, GA 39840
(229) 732-3981
(229) 732-6621
Mailing address
72 CLEBORN STREET, CUTHBERT, GA 39840
(229) 732-3981
(229) 732-6621
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
06/23/2025
Last updated
06/23/2025
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