Jackson, Latoya

Jackson, Latoya is an individual health care provider with primary practice located at 193 Minnesota Rd , Doerun GA 31744-5011. She recently has only one registered license in Other Service Providers / Contractor, which is considered as her primary health care specialty. Jackson, Latoya can be contacted via phone (229) 921-9476.

Contact Information

Primary practice address
193 Minnesota Rd Doerun GA 31744-5011
Phone: (229) 921-9476
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Contractor 171W00000X

Profile Details

NPI number 1427728195
LBN Legal business name Jackson, Latoya
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 15th, 2021
Last updated Sep 15th, 2021 - about 5 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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