Jackson, Kim
Jackson, Kim is an sole proprietor health care provider with primary practice located at 1264 Newmantown Rd , Grovetown GA 30813-3610. She recently has only one registered license in Nursing Service Related Providers / Attendant Care Provider, which is considered as her primary health care specialty. Jackson, Kim can be contacted via phone (706) 833-6879.Contact Information
Primary practice address
1264 Newmantown Rd
Grovetown GA 30813-3610
Phone: (706) 833-6879
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Related Providers / Attendant Care Provider | 3747A0650X |
Profile Details
| NPI number | 1689269243 |
|---|---|
| LBN Legal business name | Jackson, Kim |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 5th, 2021 |
| Last updated | Mar 5th, 2021 - 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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