Search › Georgia › 106S00000X
Mark Jackson
NPI 1477475937 · on the registry since 2026 · sole proprietor
Practice
- Address
- 116 Back Cedar Ln
Warner Robins, GA 31093 - Phone
- (251) 288-8522
Registry record
- Primary taxonomy
- 106S00000X
106S00000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-07-28
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