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Robert Jackson
NPI 1780005496 · on the registry since 2013
Practice
- Address
- 17 Wickham Dr
Columbus, GA 31907 - Phone
- (706) 689-6676
Registry record
- Primary taxonomy
- Community Health Worker
172V00000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2013-12-23
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