Search › Georgia › 225100000X
Brandon Jackson, DPT
NPI 1083163521 · on the registry since 2016 · sole proprietor
Practice
- Address
- 1395 S Marietta Pkwy Se Ste 212
Marietta, GA 30067 - Phone
- (770) 615-7900
- Organisation at this address
- Lincare Inc
A/B Hospice, Llc
Healthfield, Inc.
The Harville Group
Harville Group, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 16
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Also registered as
- 390200000X
- Licence states on file
- NC, GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-10-15
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia