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Search › Georgia › 208000000X

Angela Jackson, M.D

NPI 1124292826 · on the registry since 2008 · sole proprietor

Practice

Address
808 Commerce Blvd
Suite A
Riverdale, GA 30296
Phone
(770) 996-9191
Fax
(770) 996-5298
Organisation at this address
Tri-County Pediatrics
Optima Physical Therapy Inc
Olive Home Care Services Inc
Olive Home Care Services, Inc
Optima Physical Therapy Services
Inferred from a shared address, not stated in the registry.
Clinicians at this address
5

Registry record

Primary taxonomy
208000000X
208000000X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2011-10-25

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