Individual
MR. GEORGE WILLIE JACKSON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
6716 MOUNT ZION BOULEVARD, MORROW, GA 30260
(770) 960-0600
(770) 960-7146
Mailing address
1994 EMERALD DR, JONESBORO, GA 30236-5218
(770) 471-2081
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH015360
GA
Other
Enumeration date
11/25/2020
Last updated
11/25/2020
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