Individual provider · Type 1 NPI

Courtney D. Jackson, MD

Student in an Organized Health Care Education/Training Program · Thomasville, GA

NPI number 1174202832 Active

Practice location

915 Gordon Ave
Thomasville, GA 31792-6614

Call (229) 551-2576 Map

Mailing address

2507 Kyle Rd
Valley Grande, AL 36703-8809

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1174202832

Courtney D. Jackson, MD's National Provider Identifier is 1174202832, issued on Jul 11, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Thomasville, GA. The record was last updated on Jun 17, 2025.