Individual
DR. CHERRY WYANT JACKSON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Contact information
Practice address
220 BRADLEY POINT RD, SAVANNAH, GA 31410-3506
(912) 898-3567
Mailing address
220 BRADLEY POINT RD, SAVANNAH, GA 31410-3506
(912) 898-3567
Taxonomy
Speciality
Code
Description
License number
State
1835P1300X
Psychiatric Pharmacist
Primary
0022492
GA
1835P1300X
Psychiatric Pharmacist
6607
SC
Other
Enumeration date
08/30/2005
Last updated
07/08/2007
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