Search › Georgia › 106S00000X
Angela Jackson
NPI 1710575725 · on the registry since 2021 · sole proprietor
Practice
- Address
- 72 Drayton Ct
Midway, GA 31320 - Phone
- (404) 697-3608
- Fax
- (904) 203-1226
- Organisation at this address
- Puzzling Patterns
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 106S00000X
106S00000X
- Also registered as
- 171M00000X
- Sex
- Female
- Record last updated
- 2022-05-22
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