Individual
JULIE STEPHENS JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
2406 LIGHTHOUSE MANOR DR, GAINESVILLE, GA 30501-7401
(770) 536-4352
(770) 532-8165
Mailing address
2406 LIGHTHOUSE MANOR DR, GAINESVILLE, GA 30501-7401
(770) 536-4352
(770) 532-8165
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AUD003543
GA
Other
Enumeration date
04/15/2008
Last updated
03/30/2011
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