Laura Permelia Jackson, M.S.ED.,ATC, LAT
NPI #1497208987 in Southern Pines, North Carolina
Provider Information
- NPI Number
- 1497208987
- Entity Type
- Individual
- Name
- Laura Permelia Jackson, M.S.ED.,ATC, LAT
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- M.S.ED.,ATC, LAT
- Enumeration Date
- Aug 1, 2016
- Last Updated
- Aug 1, 2016
Practice Location
- Address
- 3300 AIRPORT ROAD
- City
- Southern Pines
- State
- North Carolina
- ZIP Code
- 28387
- Phone
- (910) 692-6920
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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