Search › Georgia › 175T00000X
Tawanna Jackson, CERTIFIED PEER RECOV
NPI 1235714874 · on the registry since 2021 · sole proprietor
Practice
- Address
- 3370 Flat Shoals Rd
College Park, GA 30349 - Phone
- (678) 558-9330
Registry record
- Primary taxonomy
- 175T00000X
175T00000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-03-15
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