Individual
ALEXIS JOAN JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
303 HARRIS INDUSTRIAL BLVD STE 3, VIDALIA, GA 30474-8854
(912) 537-9355
(912) 335-4804
Mailing address
1105 E 50TH ST, SAVANNAH, GA 31404-4021
(904) 704-7291
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9793
GA
Other
Enumeration date
06/04/2020
Last updated
06/04/2020
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