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 15 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 |
Popular Providers
-
Gette, Michael T
2201 Forest Hills Dr , Harrisburg PA 17112-1089 -
Payne, Amy Ruth
107 Haywood Park Dr , Clyde NC 28721 -
Broyles, John A
1157 Forsyth St , Macon GA 31201-7452 -
Buescher, Lucinda S
751 N Rutledge St , Springfield IL 62702-4909 -
Blackhart, Bret S
640 W Moana Ln Ste 2, Reno NV 89509-4857 -
Cohen, David J
308 Coliseum Dr Suite 200, Macon GA 31217-3876 -
Mccallister, Robert Edward
6920 Parkdale Pl Ste 210, Indianapolis IN 46254-5611 -
Allen, Bruce Stuart
1338 Old Forsyth Rd , Macon GA 31210-7205