Jackson, Sarah L.

Jackson, Sarah L. is an individual health care provider with primary practice located at 2501 N Patterson St , Valdosta GA 31602-1735. She recently has only one registered license in Dietary & Nutritional Service Providers / Nutrition, Education, which is considered as her primary health care specialty. Jackson, Sarah L. can be contacted via phone (229) 259-4998.

Contact Information

Primary practice address
2501 N Patterson St Valdosta GA 31602-1735
Phone: (229) 259-4998
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutrition, Education 133NN1002X 135 Georgia

Profile Details

NPI number 1760422497
LBN Legal business name Jackson, Sarah L.
Credentials RD., LDN.
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2006
Last updated Jul 9th, 2007 - about 18 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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Identifiers

StateTypeNumberIssuer
All States NPI 1760422497 NPPES
Georgia MEDICAID 00705383A

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