Laverne Jackson
Laverne Jackson is a Primary Care Clinic/Center in Quitman, Georgia. Practices as a sole proprietor. Licensed in Georgia.
- Licensed in
- GA
- In the registry since
- 2015
Practice location Address checks out
903 N Court StQuitman, GA 31643-1315
Phone: (229) 263-7147
Fax: (229) 263-6318
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Primary Care Clinic/Center (primary) | Taxonomy 261QP2300X · Licence RN130090 (GA) |
|---|
Record details
| NPI number | 1134593353 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | November 27, 2015 |
| Last updated in NPPES | November 27, 2015 |
| Mailing address | 903 N Court St, Quitman, GA 31643-1315 |