Individual provider · Type 1 NPI

Mary Sonya Jackson

Contractor · Acworth, GA

NPI number 1922605690 Active

Practice location

5480 Hedge Brooke Pointe NW
Acworth, GA 30101-7142

Specialties and licenses

TaxonomyCodeLicense
Home Modifications Contractor 171WH0202XNTO15850
Peer Specialist 175T00000XNone listed
Contractor Primary 171W00000XNTO15850 (GA)

Contractor: For the purposes of the Health Care Provider Taxonomy, a contractor is limited to individuals who do construction or mechanical work to modify a patient's environment to accommodate a health condition. Contractors perform projects including, but not limited to, building wheelchair ramps, widening doorways, modifying personal vehicles, and making other improvements for patient access and movement. This code has no re…

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About NPI 1922605690

Mary Sonya Jackson's National Provider Identifier is 1922605690, issued on Oct 6, 2020. The primary taxonomy on file is Contractor (171W00000X), and the practice location is in Acworth, GA. The record was last updated on Oct 6, 2020.