Search › Georgia › 253Z00000X
Bianca Jackson
NPI 1992387823 · on the registry since 2021 · sole proprietor
Practice
- Address
- 2508 Shannon Ct
Hephzibah, GA 30815 - Phone
- (706) 284-1533
- Fax
- (706) 284-1533
Registry record
- Primary taxonomy
- 253Z00000X
253Z00000X
- Also registered as
- 253Z00000X
320700000X - Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-04-10
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