Search › Georgia › 103T00000X
Mahkada Jackson, PHD
NPI 1790363588 · on the registry since 2021
Practice
- Address
- 1420 Ridgebend Way Se
Mableton, GA 30126 - Phone
- (646) 731-4785
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 103T00000X
103T00000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-04-01
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