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Mary Jackson
NPI 1922605690 · on the registry since 2020
Practice
- Address
- 5480 Hedge Brooke Pointe Nw
Acworth, GA 30101 - Phone
- (404) 960-5486
Registry record
- Primary taxonomy
- 171W00000X
171W00000X
- Also registered as
- 171WH0202X
175T00000X - Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-10-06
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