Billie Luke Jackson, M.D.

NPI #1235232430 in Macon, Georgia

Provider Information

NPI Number: 1235232430
Entity Type: Individual
Name: Billie Luke Jackson, M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dermatology
Credential: M.D.
Enumeration Date: Sep 6, 2006
Last Updated: Nov 3, 2011

Practice Location

Address: 440 CHARTER BLVD
Address 2: SUITE 2201
City: Macon
State: Georgia
ZIP Code: 31210-4857
Phone: (478) 477-5575

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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