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Individual

DR. KRISTY HENDRICKS JACKSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
2540 WINDY HILL RD SE, MARIETTA, GA 30067-8605
(770) 644-1570
Mailing address
475 FAIRBURN RD SW, ATLANTA, GA 30331-1907
(404) 691-9627

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
060643
GA

Other

Enumeration date
04/15/2008
Last updated
10/15/2019
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