Jackson, Latoya Danielle
Jackson, Latoya Danielle is an sole proprietor health care provider with primary practice located at 233 N Houston Rd Suite 140 E, Warner Robins GA 31093-3074. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Jackson, Latoya Danielle can be contacted via phone (478) 975-6880.Contact Information
Primary practice address
233 N Houston Rd Suite 140 E
Warner Robins GA 31093-3074
Phone: (478) 975-6880
Fax: (478) 975-6869
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 061972 | Georgia |
Profile Details
| NPI number | 1932325859 |
|---|---|
| LBN Legal business name | Jackson, Latoya Danielle |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 18th, 2007 |
| Last updated | Jun 11th, 2012 - about 13 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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