NPI 1700550811
Annabelle M Jackson
Practice location
- Address
- 7101 Hoff St # 9240, Fort Benning, GA 31905-5645
- Phone
- (706) 544-2052
- Mailing address
- 1186 Ossahatchie Creek Rd, Ellerslie, GA 31807-5332
Registered specialties
Dental Assistant
Primary
Registry record
- NPI
- 1700550811
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 3 Aug 2021
- Record last updated
- 3 Aug 2021
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.