Denise Jackson

NPI 1306330303 · on the registry since 2018 · sole proprietor

Practice

Address: 11720 Medlock Bridge Rd Ste 155
Johns Creek, GA 30097
Phone: (574) 320-3549
Organisation at this address: Agilitas Usa, Inc
Dcc Optimum Investments, Inc
Premier Specialty Pharmacy Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 15

Registry record

Primary taxonomy: Prosthetist
224P00000X
Also registered as: Prosthetist
Licence states on file: GA, IN
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2018-06-27

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