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Search › Georgia › Primary Care Clinic/Center

Laverne Jackson

NPI 1134593353 · on the registry since 2015 · sole proprietor

Practice

Address
903 N Court St
Quitman, GA 31643
Phone
(229) 263-7147
Fax
(229) 263-6318
Organisation at this address
Brooks County Hospital
Brooks County Hospital
Brooks County Hospital
Brooks County Hospital
Brooks County Hospital
Inferred from a shared address, not stated in the registry.
Clinicians at this address
5

Registry record

Primary taxonomy
Primary Care Clinic/Center
261QP2300X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2015-11-27

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia