SearchGeorgia1223G0001X

Henry Jackson, DMD

NPI 1871147116 · on the registry since 2019

Practice

Address
55 Glenda Trce
Newnan, GA 30265
Phone
(770) 252-4466

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
2019-07-25

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