MR. Ellis R Jackson, CRNA

NPI #1659362283 in Macon, Georgia

Provider Information

NPI Number
1659362283
Entity Type
Individual
Name
MR. Ellis R Jackson, CRNA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Anesthetist, Certified Registered
Credential
CRNA
Enumeration Date
Nov 2, 2005
Last Updated
Apr 12, 2017

Practice Location

Address
610 3RD ST
City
Macon
State
Georgia
ZIP Code
31201-3294
Phone
(229) 344-6080

Specialties & Taxonomy Codes

Specialty
Nurse Anesthetist, Certified Registered

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