Search › Georgia › 1223G0001X
Andrew Jackson, DMD
NPI 1568591287 · on the registry since 2007
Practice
- Address
- 600 Mccranie Avenue
Willacoochie, GA 31650 - Phone
- (912) 534-5164
- Fax
- (912) 534-5263
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
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