Search › Georgia › 172A00000X
Shanqueata Jackson
NPI 1548113004 · on the registry since 2026 · sole proprietor
Practice
- Address
- 6501 Menlo Way
Rex, GA 30273 - Phone
- (770) 557-9137
Registry record
- Primary taxonomy
- 172A00000X
172A00000X
- Sex
- Female
- Record last updated
- 2026-02-16
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