Search › Georgia › 372500000X
Tatia Jackson, PHD
NPI 1538708268 · on the registry since 2019
Practice
- Address
- 3448 Pinehill Dr
Decatur, GA 30032 - Phone
- (414) 732-8636
Registry record
- Primary taxonomy
- 372500000X
372500000X
- Also registered as
- 372600000X
374U00000X
376J00000X - Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-12-28
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