OrganizationActive
Billie L. Jackson, M.D., LLC
NPI 1114296464 · Dermatology Physician · Macon, GA
Provider details
- NPI number
- 1114296464
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Billie Jackson, Owner(478) 477-5575
- License
- 030791 (GA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
440 Charter Blvd
Suite 2201
Macon, GA 31210-0724
Phone: (478) 477-5575
Fax: (478) 477-0707
Approximate (ZIP-level) locationGet directions
Mailing address
440 Charter Blvd
Macon, GA 31210-0724
Registry dates
- Enumerated
- 2011-12-15
- Last updated
- 2011-12-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.