Individual provider · Type 1 NPI
Malinda Jackson
Driver · Fayetteville, GA
NPI number
1366250037
Active
Practice location
180 Farm Ln
Fayetteville, GA 30214-3135
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Driver Primary | 172A00000X | None listed |
Driver: A person employed to operate a motor vehicle as a carrier of persons or property.
Other driver providers in Fayetteville
About NPI 1366250037
Malinda Jackson's National Provider Identifier is 1366250037, issued on Dec 26, 2024. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Fayetteville, GA. The record was last updated on Dec 26, 2024.