Individual provider · Type 1 NPI

Rebecca Dott Jackson, PA-C

Medical Physician Assistant · Lawrenceville, GA

NPI number 1609102243 Active

Practice location

755 Walther Rd
Lawrenceville, GA 30046-8725

Call (404) 252-7618 Map

Fax (678) 843-5525

Mailing address

1416 Bubbling Creek Rd NE
Atlanta, GA 30319-2104

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X5467 (GA)

Medical Physician Assistant: Definition to come...

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About NPI 1609102243

Rebecca Dott Jackson, PA-C's National Provider Identifier is 1609102243, issued on Nov 1, 2009. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Lawrenceville, GA. The record was last updated on Nov 1, 2009.