Search › Georgia › 111N00000X
Teresa Jackson, D.C
NPI 1477881696 · on the registry since 2009 · sole proprietor
Practice
- Address
- 5304 Panola Industrial Blvd Ste E
Decatur, GA 30035 - Phone
- (404) 445-5032
- Fax
- (404) 845-7834
- Organisation at this address
- Infinite Homecare, Inc.
In Motion Pediatric Therapy Llc
Tyrone D. Lane Enterprises, IncorporatedInferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 111N00000X
111N00000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-07-21
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