Search › Georgia › 207Y00000X
Keith Jackson, MD
NPI 1225016454 · on the registry since 2006
Practice
- Address
- 1360 Upper Hembree Rd Ste 201b
Roswell, GA 30076 - Phone
- (770) 475-3361
- Organisation at this address
- Thomas A. Johnson, Dds
Alpharetta Women'S Specialists
Northside Ear, Nose & Throat, Pc
Mak Anesthesia Pain Services, Llc
Georgia Northside Ear, Nose And Throat, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 23
Additional practice sites
- 11685 Alpharetta Hwy, Roswell, GA
Registry record
- Primary taxonomy
- 207Y00000X
207Y00000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-10-15
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