Individual
WALTER HUGH JACKSON III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
6783 VETERANS PKWY BLDG 4, COLUMBUS, GA 31909-3254
(706) 321-3909
Mailing address
2922 EMORY ST, COLUMBUS, GA 31903-2624
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN123898
GA
Other
Enumeration date
08/04/2025
Last updated
08/04/2025
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