SearchGeorgia207Q00000X

Michael Jackson, MD

NPI 1306830062 · on the registry since 2005 · sole proprietor

Practice

Address
506 Riverside Pkwy Ne
Ste 200
Rome, GA 30161
Phone
(706) 266-2383
Organisation at this address
Aesthetic Plastic Surgery Pc
3t&M Transport Services Llc Prompt Driver
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
207Q00000X
207Q00000X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2019-08-12

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