Search › Georgia › 101YM0800X
Roland Jackson
NPI 1518824614 · on the registry since 2026 · sole proprietor
Practice
- Address
- 174 Scholar Rd
Guyton, GA 31312 - Phone
- (912) 231-7061
- Organisation at this address
- Dr Crystal Malloy Phd Lpc Mac Ceap Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 6
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Also registered as
- 101Y00000X
261QM0801X - Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-01-08
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