Search › Georgia › 335E00000X
Latrese Jackson
NPI 1295316511 · on the registry since 2021 · sole proprietor
Practice
- Address
- 2324 Gwendale Dr W
Lizella, GA 31052 - Phone
- (478) 250-4601
Registry record
- Primary taxonomy
- 335E00000X
335E00000X
- Sex
- Female
- Record last updated
- 2021-04-19
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