Individual
JACOBIE J DARDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8 LAGRANGE ST, NEWNAN, GA 30263-2604
(706) 518-8901
Mailing address
607 FRANK HALL JR ST # 52, WEST POINT, GA 31833-5234
(706) 518-8901
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
24090770
GA
Other
Enumeration date
05/17/2024
Last updated
05/17/2024
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