Organization
JAY JACKSON OD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAY JACKSON O.D. (OWNER)
(912) 352-3478
Entity
Organization
Contact information
Practice address
5500 ABERCORN ST STE 24, 12 OAKS SHOPPING CENTER, SAVANNAH, GA 31405-6917
(912) 352-3478
Mailing address
23 MONASTERY RD, SAVANNAH, GA 31411-1737
(912) 398-0418
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT001191
GA
Other
Enumeration date
12/12/2013
Last updated
12/12/2013
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