Miranda Jackson

NPI #1043933641 in Sylvania, Georgia

Provider Information

NPI Number
1043933641
Entity Type
Individual
Name
Miranda Jackson
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Technician - Attendant Care Provider
Enumeration Date
Sep 20, 2022
Last Updated
Sep 20, 2022

Practice Location

Address
6474 SAVANNAH HWY
State
Georgia
ZIP Code
30467-9315
Phone
(912) 425-2479

Specialties & Taxonomy Codes

Specialty
Technician - Attendant Care ProviderAttendant Care Provider

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