Organization
BEATING HEART SERVICES
Active
Organization
BEATING HEART SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE N JACKSON CMA, CPT (OWNER)
(678) 727-8384
Entity
Organization
Contact information
Practice address
1440 TEABERRY CIR, LAWRENCEVILLE, GA 30044-2123
(678) 727-8384
Mailing address
1441 WOODMONT LN NW STE 372, ATLANTA, GA 30318-2866
(678) 727-8384
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
305S00000X
Point of Service
Primary
—
—
Other
Enumeration date
01/16/2022
Last updated
06/30/2024
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