Jackson Woodall

NPI 1336796291 · on the registry since 2019

Practice

Address: 911 Duluth Hwy
Lawrenceville, GA 30043
Phone: (770) 339-5606
Organisation at this address: Henry A Magnant Md Pc
Publix Super Markets Inc
Gwinnett Dental Care Lawrenceville Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 6

Registry record

Primary taxonomy: Pharmacist
183500000X
Licence states on file: GA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2019-08-24

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