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Search › Georgia › 163WA2000X

Amelia Jackson

NPI 1801299201 · on the registry since 2014

Practice

Address
1061 Harmon Ave
Fort Stewart, GA 31314
Phone
(912) 435-5541
Organisation at this address
U.S. Army
Federal Government
Ach Winn-Ft Stewart
Winn Army Community
Ach Winn-Ft Stewart
Inferred from a shared address, not stated in the registry.
Clinicians at this address
1,116

Registry record

Primary taxonomy
163WA2000X
163WA2000X
Also registered as
163W00000X
163WC0400X
163WP0200X
163WP2201X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2014-09-30

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