Search › Georgia › 106S00000X
Jakkiyah Mack
NPI 1619712999 · on the registry since 2024 · sole proprietor
Practice
- Address
- 8032 Gardner Dr
Alpharetta, GA 30009 - Phone
- (404) 934-6084
- Fax
- (470) 880-1025
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 106S00000X
106S00000X
- Licence states on file
- HI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-09-19
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