Jackson, Lillie Pearl

Jackson, Lillie Pearl is an individual health care provider with primary practice located at 2401 Buena Vista Rd , Columbus GA 31906-3142. She recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as her primary health care specialty. Jackson, Lillie Pearl can be contacted via phone (706) 323-7244.

Contact Information

Primary practice address
2401 Buena Vista Rd Columbus GA 31906-3142
Phone: (706) 323-7244
Fax: (706) 596-0424
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X 050365094 Georgia

Profile Details

NPI number 1982025771
LBN Legal business name Jackson, Lillie Pearl
Credentials PP
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 20th, 2013
Last updated Jun 10th, 2024 - about 2 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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