Search › Georgia › 207LP2900X
Gregory Jackson, MD
NPI 1316177751 · on the registry since 2009 · sole proprietor
Practice
- Address
- 1315 Jesse Jewell Pkwy Ne
Suite 300
Gainesville, GA 30501 - Phone
- (770) 219-6520
- Fax
- (770) 219-6520
- Organisation at this address
- Georgia Urology, Pa
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 80
Registry record
- Primary taxonomy
- 207LP2900X
207LP2900X
- Also registered as
- 174400000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-10-07
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