Individual
DR. KARA B JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
172 TOWER RD, JESUP, GA 31545-0723
(912) 427-4290
Mailing address
3230 EASTLAKE DR, SCREVEN, GA 31560-9009
(912) 256-3757
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT014484
GA
Other
Enumeration date
03/04/2020
Last updated
03/04/2020
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