Robert Eric Jackson M.D.

NPI 1144305152 - Family Medicine - 207Q00000X

NPI Details
NPI 1144305152
Gender Male
Enumeration Date 10/26/2006
Last Updated 06/09/2010
Entity Type Individual
Active Over 10 years ago
Practice Location
3758 HIGHWAY 42
LOCUST GROVE GA, 30248-3653, US
Phone (770) 957-3700
Fax (678) 435-0975
Business Location
3758 HIGHWAY 42
LOCUST GROVE GA, 30248-3653, US
Phone (770) 957-3700
Fax (678) 435-0975
Toxanomy
Taxonomy Code 207Q00000X
License State Georgia
License Number 049698
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According to our database, Robert Eric Jackson M.D. NPI is 1144305152, taxonomy code is 207Q00000X and license number is 049698, license state is located at Georgia. Robert Eric Jackson M.D. physically located at 3758 Highway 42, Locust Grove GA, 30248-3653. NPI Number Robert Eric Jackson M.D. has the Individual type.

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1144305152 NPI number is provided on an as is basis without warranty of any kind. 1144305152 is maintained by the National Plan & Provider Enumeration System. The contents of Robert Eric Jackson M.D. are for informational purposes only.