Search › Georgia › 376J00000X
Manekia Jackson
NPI 1851983324 · on the registry since 2021 · sole proprietor
Practice
- Address
- 210 Creekside Cir
Austell, GA 30168 - Phone
- (404) 906-3404
Registry record
- Primary taxonomy
- 376J00000X
376J00000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-02-06
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