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Search › Georgia › 207L00000X

Justin Jackson, M.D

NPI 1417216375 · on the registry since 2012

Practice

Address
1455 Montreal Rd
Tucker, GA 30084
Phone
(404) 251-3000
Organisation at this address
Northlake Medical Center Llc
Northlake Medical Center, Llc
Northlake Medical Center, Llc
Northlake Medical Center, Llc
Northlake Medical Center, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
15

Additional practice sites

  • 5730 Glenridge Dr Ste 400, Atlanta, GA
  • 840 Montclair Rd, Birmingham, AL

Registry record

Primary taxonomy
207L00000X
207L00000X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2018-09-19

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