Individual
CHELSEA MARIE JACKOVITCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
HAD
Contact information
Practice address
59 W CANDLER ST, WINDER, GA 30680-2558
(770) 938-2400
Mailing address
59 W CANDLER ST, WINDER, GA 30680-2558
(770) 938-2400
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
HAA000168
GA
Other
Enumeration date
03/22/2021
Last updated
12/02/2024
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