Individual
MRS. BEVERLY R JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN ANP
Contact information
Practice address
119 W HILL ST, THOMASVILLE, GA 31792-6618
(229) 225-1900
(229) 225-3455
Mailing address
119 W HILL ST, THOMASVILLE, GA 31792-6618
(229) 225-1900
(229) 225-3455
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
045920
GA
Other
Enumeration date
07/26/2006
Last updated
08/20/2007
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