Individual
ALLISON JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
556 NORTHSIDE DR E, STATESBORO, GA 30458-2191
(912) 489-8683
Mailing address
556 NORTHSIDE DR E, STATESBORO, GA 30458-2191
(912) 489-8683
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH028117
GA
Other
Enumeration date
04/11/2017
Last updated
04/11/2017
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