License holder summary

JACKS, SAMUEL PORTER, MD is a Medical - Physician licensed to practice in Georgia. The address on file for JACKS, SAMUEL PORTER, MD is 4622 COUNTRY CLUB RD. | SUITE 180, WINSTON-SALEM 27104. This doctor license is current. The license was granted 07/12/2012 and expired on 11/30/2017.

Georgia

Composite Medical Board

JACKS, SAMUEL PORTER, MD
Medical - Physician
License number
068213
Date granted
07/12/2012
Date expires
11/30/2017
Class
Medical - Physician
Status
Active
Address
4622 COUNTRY CLUB RD. | SUITE 180
georgiadoctors.net
ID 38052813
LAST UPDATED 2024-03-19 16:33:47 UTC

This website is unaffiliated with the Composite Medical Board. Please verify all information directly with the relevant official government authority.

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