Search › Georgia › 225100000X
Timothy Jackson
NPI 1538512520 · on the registry since 2016
Practice
- Address
- 97 Gateway Business Park Dr
Ringgold, GA 30736 - Phone
- (706) 937-5771
- Fax
- (706) 937-3724
- Organisation at this address
- Mcm Rehabilitation Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 11
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Also registered as
- 225100000X
- Licence states on file
- GA, TN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2017-02-20
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