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Search › Georgia › 390200000X

Samuel Jackson

NPI 1942181839 · on the registry since 2025

Practice

Address
3001 Mercer University Dr
Atlanta, GA 30341
Phone
(678) 547-5214
Fax
(678) 547-6509
Organisation at this address
Mercer Physical Therapy
Georgia Baptist College Of Nursing Of Mercer University
Inferred from a shared address, not stated in the registry.
Clinicians at this address
71

Registry record

Primary taxonomy
390200000X
390200000X
Sex
Male
Record last updated
2025-09-09

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