Search › Georgia › 207Q00000X
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 DriverInferred 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