Individual provider · Type 1 NPI

Jackson P. Ward Iv, PA-C

Medical Physician Assistant · Kennesaw, GA

NPI number 1891860144 Active

Practice location

750 Townpark Ln NW, Town Park Comprehensive Medical Center
Kennesaw, GA 30144-5579

Fax (770) 994-4747

Mailing address

3495 Piedmont Rd NE, Nine Piedmont Center
Atlanta, GA 30305-1717

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X03220 (GA)

Medical Physician Assistant: Definition to come...

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About NPI 1891860144

Jackson P. Ward Iv, PA-C's National Provider Identifier is 1891860144, issued on Nov 22, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Kennesaw, GA. The record was last updated on Jan 7, 2022.