Search › Georgia › 183500000X
Lenell Jackson
NPI 1548881261 · on the registry since 2020
Practice
- Address
- 4467 N Henry Blvd
Stockbridge, GA 30281 - Phone
- (770) 474-0704
- Fax
- (770) 507-4121
- Organisation at this address
- Moye'S Pharmacy, Inc.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-05-05
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