Individual
DR. CHERYL DENISE FREEMAN-JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2206 FRANCIS ST, COLUMBUS, GA 31906
(706) 653-7057
(706) 660-1940
Mailing address
PO BOX 5678, COLUMBUS, GA 31906
(706) 653-7058
(706) 660-1940
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
011465
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009975545
—
AL
Enumeration date
06/18/2008
Last updated
06/18/2008
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