-- BILLIE LUKE JACKSON -- M.D.
Individual Provider (NPI-1)
Active
Dermatology
Provider Information
- NPI Number
1235232430- Provider Type
- Individual Provider (NPI-1)
- Credentials
- M.D.
- Status
- Active
Contact & Location
- Address
- 440 CHARTER BLVD SUITE 2201, MACON, GA, 312104857
- Phone
- (478) 477-5575
- Fax
- (478) 477-0707
Specialties & Taxonomies
Dermatology
Primary License: GA #30791