Kim Jackson

NPI #1689269243 in Grovetown, Georgia

Provider Information

NPI Number
1689269243
Entity Type
Individual
Name
Kim Jackson
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Technician - Attendant Care Provider
Enumeration Date
Mar 5, 2021
Last Updated
Mar 5, 2021

Practice Location

Address
1264 NEWMANTOWN RD
State
Georgia
ZIP Code
30813-3610
Phone
(706) 833-6879

Specialties & Taxonomy Codes

Specialty
Technician - Attendant Care ProviderAttendant Care Provider

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