MRS. Gertie Lou Jackson

NPI #1952967408 in Mount Olive, North Carolina

Provider Information

NPI Number: 1952967408
Entity Type: Individual
Name: MRS. Gertie Lou Jackson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Driver
Enumeration Date: May 9, 2019
Last Updated: May 9, 2019

Practice Location

Address: 315 TRAM RD
City: Mount Olive
State: North Carolina
ZIP Code: 28365-6436
Phone: (252) 550-1150

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Driver	172A00000X	Primary

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