Search › Georgia › 374U00000X
Shanequa Jackson
NPI 1740807494 · on the registry since 2020 · sole proprietor
Practice
- Address
- 1204 Hemlock Dr
Augusta, GA 30909 - Phone
- (706) 228-0321
Registry record
- Primary taxonomy
- 374U00000X
374U00000X
- Sex
- Female
- Record last updated
- 2020-06-29
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