Jackson, Stephanie S

Jackson, Stephanie S is an individual health care provider with primary practice located at 262 Pebble Hill Cir , Sylvester GA 31791-7759. She recently has only one registered license in Other Service Providers / Contractor, which is considered as her primary health care specialty. Jackson, Stephanie S can be contacted via phone (229) 206-2767.

Contact Information

Primary practice address
262 Pebble Hill Cir Sylvester GA 31791-7759
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Contractor 171W00000X

Profile Details

NPI number 1679143747
LBN Legal business name Jackson, Stephanie S
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2021
Last updated Jun 30th, 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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