Dorothy L Jackson
Case Manager/Care Coordinator in Valdosta, GA. Individual provider (NPI-1).
NPI number1619705324
StatusActive
Last updated in NPPESJul 24, 2024
Details
- NPI
- 1619705324
- Entity type
- Individual (NPI-1)
- Name
- Dorothy L Jackson
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 24, 2024
- Certification date
- Jul 24, 2024
- Last updated
- Jul 24, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | – | Yes |
Practice location
147 Blue Pool DrValdosta, GA 31602-1416
Phone 229-305-8282
Mailing address
147 Blue Pool DrValdosta, GA 31602-1416
Phone 229-305-8282
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All 24 Case Manager/Care Coordinator providers in Valdosta · All 2,519 providers in Valdosta
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