NPI 1568812683

Jacob Jackson

Practitioner Community Health Worker Dalton, GA

Practice location

Address: 2615 Cleveland Hwy, Dalton, GA 30721-8160
Phone: (706) 270-5060

Registered specialties

Community Health Worker Primary

Other Service Providers Taxonomy 172V00000X

Other Community Health Worker providers in Georgia →

Registry record

NPI: 1568812683
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 Jun 2016
Record last updated: 20 Jun 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.