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Richard Jackson
NPI 1144192568 · on the registry since 2025 · sole proprietor
Practice
- Address
- 811 Creste Dr
Decatur, GA 30035 - Phone
- (678) 881-7888
- Organisation at this address
- Juniors Society Inc
Juniors Society IncInferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- Adult Day Care Clinic/Center
261QA0600X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-10-24
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