Individual provider · Type 1 NPI

Laverne Jackson

Primary Care Clinic/Center · Quitman, GA

NPI number 1134593353 Active

About NPI 1134593353

Laverne Jackson's National Provider Identifier is 1134593353, issued on Nov 27, 2015. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Quitman, GA. The record was last updated on Nov 27, 2015.