Individual
ZARAYNA JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
104 S DECATUR ST, NASHVILLE, GA 31639-2306
(229) 561-9530
Mailing address
104 S DECATUR ST, NASHVILLE, GA 31639-2306
(229) 561-9530
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
07/20/2023
Last updated
07/23/2023
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