Countee, Jackquelyn

Countee, Jackquelyn is an sole proprietor health care provider with primary practice located at 805 Lausanne Dr , Valdosta GA 31601-4152. She recently has only one registered license in Other Service Providers / Driver, which is considered as her primary health care specialty. Countee, Jackquelyn can be contacted via phone (678) 245-9472.

Contact Information

Primary practice address
805 Lausanne Dr Valdosta GA 31601-4152
Phone: (678) 245-9472
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Driver 172A00000X

Profile Details

NPI number 1104544162
LBN Legal business name Countee, Jackquelyn
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 16th, 2022
Last updated Aug 16th, 2022 - about 4 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.

Request for update

Popular Providers