ATAVIA JACKSON ST
NPI 1528550209
Contractor in Morven, GA
About Atavia Jackson St NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ATAVIA JACKSON ST (NPI 1528550209) is an individual contractor provider in Morven, Georgia and active in the NPI registry since May 2018.
NPPES Registry Identity
Specialties & Licenses
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 Atavia Jackson's NPI number?
The NPI number for Atavia Jackson is 1528550209. It was assigned to this individual provider in the NPPES registry on May 30, 2018.
Where is Atavia Jackson located?
Atavia Jackson practices at 5229 Jackson Rd, Morven, GA 31638. The listed phone number is (229) 561-5507.
What is Atavia Jackson's specialty?
The primary specialty registered for this NPI is Contractor with taxonomy code 171W00000X.
When was this NPI record last updated?
The NPPES record for Atavia Jackson was last updated on May 30, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.