Jackson, Jacinta E

Jackson, Jacinta E is an individual health care provider with primary practice located at 303 Charlie Watts Dr , Dallas GA 30157-4907. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Jackson, Jacinta E can be contacted via phone (770) 443-4886.

Contact Information

Primary practice address
303 Charlie Watts Dr Dallas GA 30157-4907
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X RPH024544 Georgia

Profile Details

NPI number 1144568536
LBN Legal business name Jackson, Jacinta E
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 21st, 2013
Last updated Dec 20th, 2022 - about 3 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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