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Melody Jackson
NPI 1891676961 · on the registry since 2025 · sole proprietor
Practice
- Address
- 909 Indian Lake Dr Nw
Lilburn, GA 30047 - Phone
- (770) 990-6065
Registry record
- Primary taxonomy
- 225700000X
225700000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-09-08
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