Individual
MR. JEFFERD JACKSON DANIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3253 NEW HOME RD, TRENTON, GA 30752-5705
(909) 894-9980
Mailing address
3253 NEW HOME RD, TRENTON, GA 30752-5705
(909) 894-9980
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
11/28/2025
Last updated
11/28/2025
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