Jackson, Billie Luke
Jackson, Billie Luke is an sole proprietor health care provider with primary practice located at 440 Charter Blvd Suite 2201, Macon GA 31210-4857. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Jackson, Billie Luke can be contacted via phone (478) 477-5575.Contact Information
Primary practice address
440 Charter Blvd Suite 2201
Macon GA 31210-4857
Phone: (478) 477-5575
Fax: (478) 477-0707
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 30791 | Georgia |
Profile Details
| NPI number | 1235232430 |
|---|---|
| LBN Legal business name | Jackson, Billie Luke |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 6th, 2006 |
| Last updated | Nov 3rd, 2011 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1235232430 | NPPES |
| Georgia | MEDICAID | 000373513E |
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