Individual
WYKEY JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
801 BARKLAY WAY, COLUMBUS, GA 31907-5122
(404) 234-1188
Mailing address
801 BARKLAY WAY, COLUMBUS, GA 31907-5122
(404) 234-1188
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
10/02/2025
Last updated
10/02/2025
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