Jackson, Charlene Dawn
Jackson, Charlene Dawn is an individual health care provider with primary practice located at 1 Freedom Way # 294 , Augusta GA 30904-6258. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Kinesiotherapist, which is considered as her primary health care specialty. Jackson, Charlene Dawn can be contacted via phone (706) 733-0188.Contact Information
Primary practice address
1 Freedom Way # 294
Augusta GA 30904-6258
Phone: (706) 733-0188
Fax: (706) 731-7861
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Kinesiotherapist | 226300000X |
Profile Details
| NPI number | 1528174109 |
|---|---|
| LBN Legal business name | Jackson, Charlene Dawn |
| Credentials | RKT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 23rd, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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.
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