Search › Georgia › 372600000X
Latasha Jackson
NPI 1720868409 · on the registry since 2023 · sole proprietor
Practice
- Address
- 2259 Old Villa Rica Rd
Powder Springs, GA 30127 - Phone
- (216) 507-8284
Registry record
- Primary taxonomy
- 372600000X
372600000X
- Also registered as
- 343900000X
372500000X
376J00000X
385H00000X - Sex
- Female
- Record last updated
- 2023-10-02
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