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Search › Georgia › 363LA2200X

Elizabeth Jackson, NP-C

NPI 1477959914 · on the registry since 2014

Practice

Address
745 Poplar Rd
Newnan, GA 30265
Phone
(404) 367-3014
Fax
(404) 367-3558
Organisation at this address
Concordia Anesthesiology
Piedmont Newnan Hospital, Inc.
Piedmont Pathology Associates, P.C.
Radiology & Medical Imagery Of Newnan, Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
85

Registry record

Primary taxonomy
363LA2200X
363LA2200X
Also registered as
163W00000X
364SG0600X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2016-05-16

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