Individual
JACKSON JAMES CERVI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2001 PEACHTREE RD NE STE 705, ATLANTA, GA 30309-1476
(404) 355-0743
Mailing address
74 MONTCLAIR DR NE, ATLANTA, GA 30309-1527
(678) 656-9464
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT014802
GA
2251X0800X
Orthopedic Physical Therapist
PT014802
GA
Other
Enumeration date
08/06/2020
Last updated
08/06/2020
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