Individual
DR. JEFFERSON BLAKE RACKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
63 SPRINGS STATION DR., FRANKLIN SPRINGS, GA 30639
(706) 246-0733
Mailing address
89 MEADOW DR, ROYSTON, GA 30662-2424
(706) 680-0055
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
06/30/2010
Last updated
06/30/2010
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