Organization · Type 2 NPI
Geraldine Jackson
Customized Equipment (DME) · Stockbridge, GA
NPI number
1154422160
Active
Practice location
149 N Park Trl
Stockbridge, GA 30281-7373
Fax (678) 369-7392
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Customized Equipment (DME) Primary | 332BC3200X | None listed |
Customized Equipment (DME): Definition to come...
Another provider at this address
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About NPI 1154422160
Geraldine Jackson's National Provider Identifier is 1154422160, issued on Sep 25, 2006. The primary taxonomy on file is Customized Equipment (DME) (332BC3200X), and the practice location is in Stockbridge, GA. The record was last updated on Jul 21, 2022.