Individual
TREVIS SHANTELL JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7420 MISTYDAWN DR, FAIRBURN, GA 30213-4330
(678) 361-8944
Mailing address
7420 MISTYDAWN DR, FAIRBURN, GA 30213-4330
(678) 361-8944
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
OTA000749
GA
224Z00000X
Occupational Therapy Assistant
OTA000749
GA
Other
Enumeration date
12/27/2024
Last updated
12/27/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us