SearchGeorgia133V00000X

Kimberly Jackson, R.D.N

NPI 1386188332 · on the registry since 2016 · sole proprietor

Practice

Address
2318 Longcourt Way Se
Atlanta, GA 30339
Phone
(404) 889-7662

Registry record

Primary taxonomy
133V00000X
133V00000X
Also registered as
133V00000X
Licence states on file
GA, AL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2016-12-10

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