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MR. VINCENT PAUL JACKSON RT(R)
NPI 1033471669
Radiologic Technologist in Atlanta, GA

Active since June 11, 2012
4950 GLAZE DR, ATLANTA, GA 30360(770) 990-6821 Get Directions Write a Review

NPPES record last updated: June 11, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Vincent Paul Jackson Rt(r) NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. VINCENT PAUL JACKSON RT(R) (NPI 1033471669) is an individual radiologic technologist in Atlanta, Georgia, licensed in Minnesota (394412) and active in the NPI registry since June 2012.

NPPES Registry Identity

NPI1033471669
Entity TypeIndividualMale
Primary Taxonomy247100000X
Provider Legal NameMR. VINCENT PAUL JACKSONCredential: RT(R)
Location Address4950 GLAZE DRAtlanta, GA 30360-1702
Mailing Address4950 Glaze DrAtlanta, GA 30360-1702 · (770) 990-6821
Phone(770) 990-6821
Sole ProprietorYes
Enumeration DateJune 11, 2012
✔ NPI 1033471669 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiologic TechnologistTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code247100000X
License✔ Licensed in MN · 394412
Definition
A medical imaging or radiation therapy professional who is appropriately educated and trained to perform medical imaging procedures using ionizing and nonionizing radiation.
4950 GLAZE DR, Atlanta, GA 30360
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Vincent Jackson's NPI number?

The NPI number for Vincent Jackson is 1033471669. It was assigned to this individual provider in the NPPES registry on June 11, 2012.

Where is Vincent Jackson located?

Vincent Jackson practices at 4950 Glaze Dr, Atlanta, GA 30360. The listed phone number is (770) 990-6821.

What is Vincent Jackson's specialty?

The primary specialty registered for this NPI is Radiologic Technologist with taxonomy code 247100000X.

When was this NPI record last updated?

The NPPES record for Vincent Jackson was last updated on June 11, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.