Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BILLIE LUKE JACKSON, M.D.
Active Sole ProprietorBILLIE LUKE JACKSON, M.D. is a Dermatology healthcare provider located in MACON, Georgia. NPI 1235232430 is currently active in the NPPES registry. Verify at CMS.
Dermatology · MACON, GA
Registration Details
- NPI Number
- 1235232430
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 6, 2006 (19.905002327165 yrs)
- Last Updated
- Nov 3, 2011
- License
-
30791 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
440 CHARTER BLVDSUITE 2201MACON, GA, 312104857Browse GA providers · Browse ZIP 31210
- Phone
- 4784775575
- Fax
- 4784770707
- Primary Specialty
-
Dermatology
207N00000X
Other Dermatology Providers in MACON, GA
| Name | Credential | NPI |
|---|---|---|
| DAVID J COHEN | MD | 1487652020 |
| VIRGINIA CHILDS HALL | M.D. | 1073501276 |
| MARK W BONNER | MD | 1811961600 |
| DR. JENNIFER HAWKINS ALLEN | M.D. | 1922160811 |
| BRUCE STUART ALLEN | M.D. | 1558603969 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.