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Contact Information

ANNABELLE M JACKSON
7101 HOFF ST # 9240
FORT BENNING, GA31905-5645
 Phone: 706-544-2052
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dental Assistant

126800000X
Indicates primary specialty

NPI Profile & details for ANNABELLE M JACKSON · (Female)

NPI Number 1700550811
Status Active
Credentials
Entity Individual
Enumeration date 08/03/2021
Last updated 08/03/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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