Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mattie Jackson

Individual provider Pharmacist · NPI 1669076345

Mattie Jackson is a Pharmacist in Baxley, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2020
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Practice location Address checks out

650 Manning Williams Rd
Baxley, GA 31513-7431
Phone: (912) 286-4739
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence RPH014330 (GA)

Record details

NPI number1669076345
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 24, 2020
Last updated in NPPESNovember 24, 2020
Certification dateNovember 16, 2020
Mailing address19 E Parker St, Baxley, GA 31513-0056

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