Kimberly Jackson, LMT

NPI 1548432586 · on the registry since 2008 · sole proprietor

Practice

Address: 247 Lana Dr
Gray, GA 31032
Phone: (478) 986-0484
Fax: (478) 986-0486
Organisation at this address: Azalea Medical Transport Llc
Ga Pain And Behavioral Medicine Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 2

Registry record

Primary taxonomy: 225700000X
225700000X
Licence states on file: GA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2008-03-31

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