Laverne Jackson
NPI #1134593353 in Quitman, Georgia
Provider Information
- NPI Number
- 1134593353
- Entity Type
- Individual
- Name
- Laverne Jackson
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- Nov 27, 2015
- Last Updated
- Nov 27, 2015
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Primary Care — Primary Care |
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