SearchGeorgia171W00000X

Atavia Jackson, ST

NPI 1528550209 · on the registry since 2018 · sole proprietor

Practice

Address
5229 Jackson Rd
Morven, GA 31638
Phone
(229) 561-5507

Registry record

Primary taxonomy
171W00000X
171W00000X
Sex
Female
Record last updated
2018-05-30

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