Kim Jackson
Kim Jackson is an Attendant Care Provider in Grovetown, Georgia. Practices as a sole proprietor. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
1264 Newmantown RdGrovetown, GA 30813-3610
Phone: (706) 833-6879
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Attendant Care Provider (primary) | Taxonomy 3747A0650X |
|---|
Record details
| NPI number | 1689269243 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | March 5, 2021 |
| Last updated in NPPES | March 5, 2021 |
| Certification date | March 5, 2021 |
| Mailing address | 1264 Newmantown Rd, Grovetown, GA 30813-3610 |
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