Search › Georgia › 311ZA0620X
Judy Jackson
NPI 1548671316 · on the registry since 2014 · sole proprietor
Practice
- Address
- 5941 Wilerson Rd.
Rex, GA 30273 - Phone
- (678) 284-1355
- Fax
- (678) 284-1355
Registry record
- Primary taxonomy
- 311ZA0620X
311ZA0620X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2014-05-15
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